Basic Information
| Provider Information | |||||||||
| NPI: | 1376638437 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | TURNER DENTAL GROUP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2933 S 47TH STREET | ||||||||
| Address2: | |||||||||
| City: | KANSAS CITY | ||||||||
| State: | KS | ||||||||
| PostalCode: | 66106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9136771004 | ||||||||
| FaxNumber: | 9136772820 | ||||||||
| Practice Location | |||||||||
| Address1: | 2933 S 47TH STREET | ||||||||
| Address2: | |||||||||
| City: | KANSAS CITY | ||||||||
| State: | KS | ||||||||
| PostalCode: | 66106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9136771004 | ||||||||
| FaxNumber: | 9136772820 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2006 | ||||||||
| LastUpdateDate: | 10/17/2022 | ||||||||
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| AuthorizedOfficialLastName: | HUYETT | ||||||||
| AuthorizedOfficialFirstName: | LAURA | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9136771004 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | D.D.S. | ||||||||
| NPICertificationDate: | 10/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | N | 193200000X MULTI-SPECIALTY GROUP | Dental Providers | Dentist | General Practice | 261QD0000X | 60026 | KS | N | Ambulatory Health Care Facilities | Clinic/Center | Dental | 261QD0000X | 6390 | KS | N | Ambulatory Health Care Facilities | Clinic/Center | Dental | 261QD0000X | Y | Ambulatory Health Care Facilities | Clinic/Center | Dental |
No ID Information.