Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shoal Creek Pediatric Dentistry, LLC

Organization Pediatric Dentistry · NPI 1295998144

Shoal Creek Pediatric Dentistry, LLC provides Pediatric Dentistry in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9051 NE 81st Ter Ste 220
Kansas City, MO 64158 Not confirmed with CMS for 18 years — call before visiting
Phone: (816) 781-5437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2005034207 (MO)

Record details

NPI number1295998144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Thomas — President · (816) 781-5437
NPI enumeratedJuly 9, 2008
Last updated in NPPESJuly 9, 2008
Mailing address9051 Ne 81st Terrace, Suite 220, Kansas City, MO 64158

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