Hometown Pediatric Dentistry Llc, NPI 1366068009
Pediatric Dentist in Kearney, MO, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1366068009
NPI Entity Type Organization
Provider Name Hometown Pediatric Dentistry Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 301 S Platte Clay Way Ste A, Kearney, MO, US
Provider Mailing Address 301 S Platte Clay Way Ste A, Kearney, MO, US, 640608826
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name DR. DMD Matthew Alan Tobler
Official Position PEDIATRIC DENTIST
Phone 618-509-3031

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

1223P0221X

Taxonomy Name Pediatric Dentist
Classification

Dentist

Group

Dental Providers

Description An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Business Address

Hometown Pediatric Dentistry Llc
301 S Platte Clay Way Ste A

Kearney, MO, US

Phone: 816-866-3994
Fax: 816-608-2367

Mailing Address

Hometown Pediatric Dentistry Llc
301 S Platte Clay Way Ste A
Kearney, MO, US
ZIP 640608826
Phone: 816-866-3994
Fax: 816-608-2367

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
CONNECT https://www.hometownpediatricdentistry.com/ website DIRECT CSV No 301 S Platte Clay Way Ste A, Kearney, MO, US

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NPI Name Taxonomy Address

1679982664

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FNP-C Kyle Douglas Gronberg

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Nurse Practitioner

3801 S National Ave Ste 900

Springfield, MO

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