Provider Demographics
NPI:1144784711
Name:TMJ AND SLEEP THERAPY CENTRE OF KANSAS CITY
Entity Type:Organization
Organization Name:TMJ AND SLEEP THERAPY CENTRE OF KANSAS CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEDFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-941-0980
Mailing Address - Street 1:1236 W 103RD ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4513
Mailing Address - Country:US
Mailing Address - Phone:816-941-0980
Mailing Address - Fax:816-941-0982
Practice Address - Street 1:1236 W 103RD ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4513
Practice Address - Country:US
Practice Address - Phone:816-941-0980
Practice Address - Fax:816-941-0982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental