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

Mary Jane Suppasansathorn, DDS

Individual provider Dentist · NPI 1013076934

Mary Jane Suppasansathorn, DDS is a Dentist in Raytown, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

7316 Raytown Rd
Raytown, MO 64133
Phone: (816) 353-0140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 014840 (MO)

Record details

NPI number1013076934
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 6, 2006
Last updated in NPPESJuly 8, 2007
Mailing address7316 Raytown Road, Raytown, MO 64133

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