Provider Demographics
NPI:1043824832
Name:PLEASANT DENTAL CARE KC
Entity Type:Organization
Organization Name:PLEASANT DENTAL CARE KC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:PLEASANT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-616-7380
Mailing Address - Street 1:11800 E 56TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64133-3039
Mailing Address - Country:US
Mailing Address - Phone:816-616-7380
Mailing Address - Fax:
Practice Address - Street 1:912 E 63RD ST STE 100
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-3439
Practice Address - Country:US
Practice Address - Phone:816-523-2221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental