Provider Demographics
NPI:1972687580
Name:WILLIAM E. LUTHER, JR., D.D.S., L.L.C.
Entity Type:Organization
Organization Name:WILLIAM E. LUTHER, JR., D.D.S., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:LUTHER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-525-0399
Mailing Address - Street 1:325 SE WILSON ST
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-2715
Mailing Address - Country:US
Mailing Address - Phone:816-525-0399
Mailing Address - Fax:816-525-5160
Practice Address - Street 1:325 SE WILSON ST
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2715
Practice Address - Country:US
Practice Address - Phone:816-525-0399
Practice Address - Fax:816-525-5160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO05948020OtherBLUE CROSS/BLUE SHIELD