Provider Demographics
NPI:1073290219
Name:BRACES BY BILLINGS, LLC
Entity Type:Organization
Organization Name:BRACES BY BILLINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INS COORDINATOR/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-454-6800
Mailing Address - Street 1:5400 N OAK TRFY STE 123
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-4690
Mailing Address - Country:US
Mailing Address - Phone:816-454-6800
Mailing Address - Fax:816-454-4155
Practice Address - Street 1:5400 N OAK TRFY STE 123
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-4690
Practice Address - Country:US
Practice Address - Phone:816-454-6800
Practice Address - Fax:816-454-4155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty