Provider Demographics
NPI:1811412620
Name:PLATTNER DENTAL ASSOCIATES, LLC
Entity Type:Organization
Organization Name:PLATTNER DENTAL ASSOCIATES, LLC
Other - Org Name:PLATTNER DENTISTRY FAMILY & COSMETIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PLATTNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:660-584-8000
Mailing Address - Street 1:3700 HWY 13
Mailing Address - Street 2:
Mailing Address - City:HIGGINSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64037
Mailing Address - Country:US
Mailing Address - Phone:660-584-8000
Mailing Address - Fax:660-584-8002
Practice Address - Street 1:3700 HWY 13
Practice Address - Street 2:
Practice Address - City:HIGGINSVILLE
Practice Address - State:MO
Practice Address - Zip Code:64037
Practice Address - Country:US
Practice Address - Phone:660-584-8000
Practice Address - Fax:660-584-8002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty