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NPI Code Detail

MEDICARE: CELEBRATE PEDIATRICS LLC

MEDICARE: CELEBRATE PEDIATRICS LLC
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
11223P0221XPediatric Dentistry
2261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1861263998
Entity Type Code : Organization
Provider Name (Legal Business Name) : CELEBRATE PEDIATRICS LLC
Provider Business Mailing Address
First Line : 319 NE VIVION RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-4510
Country : US
Telephone Number : 816-459-0000
Fax Number :
Provider Business Practice Location Address
First Line : 319 NE VIVION RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-4510
Country : US
Telephone Number : 816-459-0000
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : LINDA ESLER
Credential :
Telephone Number : 816-459-0000
Provider Enumeration Date : 01/09/2024
Last Update Date : 02/09/2026

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Directions to “CELEBRATE PEDIATRICS LLC ” Practice Location

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