Provider Demographics
NPI:1376638437
Name:TURNER DENTAL GROUP
Entity Type:Organization
Organization Name:TURNER DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUYETT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:913-677-1004
Mailing Address - Street 1:2933 S 47TH STREET
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66106
Mailing Address - Country:US
Mailing Address - Phone:913-677-1004
Mailing Address - Fax:913-677-2820
Practice Address - Street 1:2933 S 47TH STREET
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106
Practice Address - Country:US
Practice Address - Phone:913-677-1004
Practice Address - Fax:913-677-2820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1223G0001X, 261QD0000X
KS60026261QD0000X
KS6390261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty