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

Summit Oral Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1437083615

Summit Oral Surgery Center LLC is an Ambulatory Surgical Clinic/Center 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.

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Practice location Address checks out

19921 E Jackson Dr
Independence, MO 64057-1596
Phone: (913) 735-3826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1437083615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Lee — Ceo · (913) 735-3826
NPI enumeratedJune 11, 2026
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address19921 E Jackson Dr, Independence, MO 64057-1596

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