Provider Demographics
NPI:1134772940
Name:FINNEY, ALICIA (DDS)
Entity type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:
Last Name:FINNEY
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 1:912 E 29TH ST APT 1E
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64109-1167
Mailing Address - Country:US
Mailing Address - Phone:832-431-6323
Mailing Address - Fax:
Practice Address - Street 1:912 E 29TH ST APT 1E
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64109-1167
Practice Address - Country:US
Practice Address - Phone:832-431-6323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-20
Last Update Date:2019-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX352971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice