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

Summit Village Family Dental LLC

Organization General Practice Dentistry · NPI 1932568060

Summit Village Family Dental LLC provides General Practice Dentistry in Lees Summit, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
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

600 NW Murray Rd Ste 304
Lees Summit, MO 64081-1204 Not confirmed with CMS for 10 years — call before visiting
Phone: (816) 525-5414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 015384 (MO)

Record details

NPI number1932568060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Pace — Business Manager · (816) 525-5414
NPI enumeratedFebruary 17, 2016
Last updated in NPPESFebruary 17, 2016
Mailing address600 Nw Murray Rd, Suite 304, Lees Summit, MO 64081-1204

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