Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Jane Suppasansathorn, DDS

Individual provider Dentist · NPI 1013076934

Mary Jane Suppasansathorn, DDS is a Dentist in Raytown, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

7316 Raytown Rd
Raytown, MO 64133
Phone: (816) 353-0140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 014840 (MO)

Record details

NPI number1013076934
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 6, 2006
Last updated in NPPESJuly 8, 2007

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