Provider Demographics
NPI:1497920862
Name:DR. ROBERT E. HURST D.D.S. P.C
Entity Type:Organization
Organization Name:DR. ROBERT E. HURST D.D.S. P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-531-1477
Mailing Address - Street 1:4620 J C NICHOLS PKWY STE 501
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-1609
Mailing Address - Country:US
Mailing Address - Phone:816-531-1477
Mailing Address - Fax:816-531-1479
Practice Address - Street 1:4620 J C NICHOLS PKWY STE 501
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-1609
Practice Address - Country:US
Practice Address - Phone:816-531-1477
Practice Address - Fax:816-531-1479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO151191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty