Provider Demographics
NPI:1619000577
Name:CURATORS UNIVERSITY OF MISSOURI
Entity Type:Organization
Organization Name:CURATORS UNIVERSITY OF MISSOURI
Other - Org Name:UMKC DENTAL FACULTY PRACTICE
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR-FACULTY PRACTICE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:G
Authorized Official - Last Name:PASCHANG
Authorized Official - Suffix:
Authorized Official - Credentials:BSDH, MPA
Authorized Official - Phone:816-235-2120
Mailing Address - Street 1:650 E 25TH ST
Mailing Address - Street 2:#277
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2716
Mailing Address - Country:US
Mailing Address - Phone:816-235-2121
Mailing Address - Fax:816-235-5526
Practice Address - Street 1:650 E 25TH ST
Practice Address - Street 2:#277
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2716
Practice Address - Country:US
Practice Address - Phone:816-235-2121
Practice Address - Fax:816-235-5526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty