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

Raytown Dental PLLC

Organization Dentist · NPI 1205416047

Raytown Dental PLLC is a Dentist in Raytown, Missouri. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10208 E State Route 350
Raytown, MO 64138-1805
Phone: (816) 356-2476
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1205416047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Creed Cardon — Owner · (918) 998-0996
NPI enumeratedApril 14, 2021
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023
Mailing address400 Riverwalk Ter Ste 250, Jenks, OK 74037-5619

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