Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Etheridge Complete Dentistry LLC

Organization General Practice Dentistry · NPI 1902378722

Etheridge Complete Dentistry LLC provides General Practice Dentistry in Lees Summit, Missouri. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

818 NW Park Ln
Lees Summit, MO 64063-1880
Phone: (816) 525-1655
Fax: (816) 524-7800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1902378722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dana Christian — Office Manager · (816) 525-1655
NPI enumeratedDecember 18, 2018
Last updated in NPPESDecember 18, 2018
Mailing address818 Nw Park Ln, Lees Summit, MO 64063-1880

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