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

Summit Oral Surgery Center LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1114868957

Summit Oral Surgery Center LLC is an Oral and Maxillofacial Surgery (Dentist) in Independence, Missouri. Registered with an NPI since 2026.

In the registry since
2026
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

19921 E Jackson Dr
Independence, MO 64057-1596
Phone: (313) 600-2188
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1114868957
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Lee — Administrator · (313) 600-2188
NPI enumeratedApril 4, 2026
Last updated in NPPESApril 4, 2026
Certification dateApril 4, 2026
Mailing address19921 E Jackson Dr, Independence, MO 64057-1596

Other providers in Independence