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

Summit Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1053848374

Summit Pediatric Dentistry is a Pediatric Dentistry in Lees Summit, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017

Practice location Address checks out

24 NW Chipman Rd Ste B
Lees Summit, MO 64063-1929
Phone: (816) 256-0073
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2006037222 (MO)

Record details

NPI number1053848374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moncy Mathew — Owner/Dentist · (816) 256-0073
NPI enumeratedMay 17, 2017
Last updated in NPPESJuly 21, 2022
Mailing address24 Nw Chipman Rd Ste B, Lees Summit, MO 64063-1929

Other providers in Lees Summit