Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Etheridge Complete Dentistry LLC

Organization General Practice Dentistry · NPI 1902378722

Etheridge Complete Dentistry LLC is a 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.

See every abbreviation used in this directory →

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

Other providers in Lees Summit