Provider Demographics
NPI:1871268946
Name:HUTCHINSON, EMILY ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ANN
Last Name:HUTCHINSON
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 1:4746 BELLEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-1315
Mailing Address - Country:US
Mailing Address - Phone:816-531-8740
Mailing Address - Fax:
Practice Address - Street 1:4746 BELLEVIEW AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-1315
Practice Address - Country:US
Practice Address - Phone:816-531-8740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021020718122400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122400000XDental ProvidersDenturist