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NPI Code Detail

MEDICARE: AMY LYNNE SCHRADER D.D.S.

MEDICARE: AMY LYNNE SCHRADER D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist2015017077MO

General Provider Information

NPI Number : 1811378003
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LYNNE SCHRADER D.D.S.
Provider Business Mailing Address
First Line : 4746 BELLEVIEW AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64112-1315
Country : US
Telephone Number : 816-287-8133
Fax Number :
Provider Business Practice Location Address
First Line : 4746 BELLEVIEW AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64112-1315
Country : US
Telephone Number : 816-287-8133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2015
Last Update Date : 06/12/2015

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