OrganizationActive

Lakewood Oral and Maxillofacial Surgery Specialists

NPI 1730460270 · Oral & Maxillofacial Surgery (D.M.D.) · Lees Summit, MO

Provider details

NPI number: 1730460270
Entity type: Organization
Primary specialty: Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Christopher Haggerty, Member(816) 554-8300
License: 2002013152 (MO)

Oral & Maxillofacial Surgery (D.M.D.)Primary204E00000XLicense 2008034915 (MO)
Allopathic & Osteopathic Physicians
Oral and Maxillofacial Surgery (Dentist)1223S0112XLicense 2002013152 (MO)
Dental Providers
Oral and Maxillofacial Surgery (Dentist)1223S0112XLicense 60577 (KS)
Dental Providers
Oral & Maxillofacial Surgery (D.M.D.)204E00000XLicense 04-34622 (KS)
Allopathic & Osteopathic Physicians

3600 Ne Ralph Powell Rd

Suite D

Lees Summit, MO 64064-2369

Phone: (816) 554-8300

Fax: (816) 554-8303

Approximate (ZIP-level) locationGet directions

3600 Ne Ralph Powell Rd

Lees Summit, MO 64064-2369

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.