OrganizationActive
Kansas City Facial and Oral Surgery, LLC
NPI 1700403722 · Oral and Maxillofacial Surgery (Dentist) · Lees Summit, MO
Provider details
- NPI number
- 1700403722
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Brian Hollabaugh, Oral and Maxillofacial Surgeon(816) 598-8166
Specialties & taxonomies
Dental Providers
Practice location
2931 Ne Independence Ave.
Lees Summit, MO 64064-6406
Phone: (816) 598-8166
Approximate (ZIP-level) locationGet directions
Mailing address
117 Sw Shores Dr
Lees Summit, MO 64064-4502
Registry dates
- Enumerated
- 2020-06-26
- Last updated
- 2020-06-26
- Certified
- 2020-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.