Provider Demographics
NPI:1447206552
Name:SOLANO, CESAR E (DMD)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:E
Last Name:SOLANO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 NW COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-5710
Mailing Address - Country:US
Mailing Address - Phone:816-525-8660
Mailing Address - Fax:816-554-1253
Practice Address - Street 1:708 NW COMMERCE DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-5710
Practice Address - Country:US
Practice Address - Phone:816-525-8660
Practice Address - Fax:816-554-1253
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0152701223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOU37517Medicare UPIN
MO0003589AMedicare ID - Type Unspecified