Provider Demographics
NPI:1518606235
Name:GARLING, CASSIDY BROOKE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CASSIDY
Middle Name:BROOKE
Last Name:GARLING
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 1:2933 S 47TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66106-3739
Mailing Address - Country:US
Mailing Address - Phone:913-677-1004
Mailing Address - Fax:
Practice Address - Street 1:2933 S 47TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106-3739
Practice Address - Country:US
Practice Address - Phone:913-677-1004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022019284122300000X
KS61873122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist