Provider Demographics
NPI:1225113129
Name:BELTGENS, NATALIE LISA (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:LISA
Last Name:BELTGENS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 NE CROSS CREEK LN
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-7016
Mailing Address - Country:US
Mailing Address - Phone:816-228-8400
Mailing Address - Fax:816-228-6348
Practice Address - Street 1:1730 SOUTH 7 HIGHWAY
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014
Practice Address - Country:US
Practice Address - Phone:816-228-8400
Practice Address - Fax:816-228-6348
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO015-8521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice