Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lakewood Oral and Maxillofacial Surgery Specialists

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1730460270

Lakewood Oral and Maxillofacial Surgery Specialists is an Oral and Maxillofacial Surgery (Dentist) in Lees Summit, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2011.

Licensed in
KS, MO
In the registry since
2011
Specialties on file
4
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Practice location Address checks out

3600 NE Ralph Powell Rd Ste D
Lees Summit, MO 64064-2369
Phone: (816) 554-8300
Fax: (816) 554-8303
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Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 2008034915 (MO)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 2002013152 (MO)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 60577 (KS)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 04-34622 (KS)

Record details

NPI number1730460270
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Haggerty — Member · (816) 554-8300
NPI enumeratedAugust 29, 2011
Last updated in NPPESAugust 29, 2011
Mailing address3600 Ne Ralph Powell Rd, Suite D, Lees Summit, MO 64064-2369

Other providers in Lees Summit