OrganizationActive
Facial Surgery Group PC
NPI 1194745620 · Oral and Maxillofacial Surgery (Dentist) · Kansas City, MO
Provider details
- NPI number
- 1194745620
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Louann Allen, Practice Manager(816) 561-1115
- License
- DE015216 (MO)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
4700 Belleview
Ste L 10
Kansas City, MO 64112-1360
Phone: (816) 561-1115
Fax: (816) 931-7912
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 802752
Kansas City, MO 64180-0001
Other names (DBA / former)
- Former legal business name
- Tanner and Moore
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.