Provider Demographics
NPI:1083114896
Name:ADAM NALER D.D.S., LLC
Entity Type:Organization
Organization Name:ADAM NALER D.D.S., LLC
Other - Org Name:ADAM NALER DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAKLEND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-858-5343
Mailing Address - Street 1:PO BOX 768
Mailing Address - Street 2:
Mailing Address - City:PLATTE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64079-0768
Mailing Address - Country:US
Mailing Address - Phone:816-858-5343
Mailing Address - Fax:
Practice Address - Street 1:510 BRANCH ST
Practice Address - Street 2:
Practice Address - City:PLATTE CITY
Practice Address - State:MO
Practice Address - Zip Code:64079-9713
Practice Address - Country:US
Practice Address - Phone:816-858-5343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental