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

Shoal Creek Pediatric Dentistry, LLC

Organization Pediatric Dentistry · NPI 1295998144

Shoal Creek Pediatric Dentistry, LLC is a Pediatric Dentistry in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
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

9051 NE 81st Ter Ste 220
Kansas City, MO 64158
Phone: (816) 781-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2005034207 (MO)

Record details

NPI number1295998144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Thomas — President · (816) 781-5437
NPI enumeratedJuly 9, 2008
Last updated in NPPESJuly 9, 2008
Mailing address9051 Ne 81st Terrace, Suite 220, Kansas City, MO 64158

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