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

Tonganoxie Family Dentistry

Organization Dentist · NPI 1053655274

Tonganoxie Family Dentistry provides Dentist services in Gladstone, Missouri. Licensed in Kansas. Registered with an NPI since 2012.

Licensed in
KS
In the registry since
2012

Practice location Address checks out

6725 N Park Ave
Gladstone, MO 64118-3783 Not confirmed with CMS for 13 years — call before visiting
Phone: (816) 813-7917
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 60803 (KS)

Record details

NPI number1053655274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Jaeger — Dentist · (816) 813-7917
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012
Mailing address766 Northstar Court, Tonganoxie, KS 66086

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