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

Independence Pediatric Dentistry LLC

Organization Pediatric Dentistry · NPI 1376058420

Independence Pediatric Dentistry LLC is a Pediatric Dentistry in Independence, Missouri. Registered with an NPI since 2017.

In the registry since
2017
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

651 E 24 Hwy
Independence, MO 64050-2974
Phone: (816) 461-3661
Fax: (913) 210-2224
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1376058420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shayna Bahr — Manager · (816) 461-3661
NPI enumeratedDecember 12, 2017
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address10975 Grandview Dr Ste 350, Overland Park, KS 66210-1522

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