OrganizationActive
Etheridge Complete Dentistry LLC
NPI 1902378722 · General Practice Dentistry · Lees Summit, MO
Etheridge Complete Dentistry LLC is a General Practice Dentistry organization in Lees Summit, MO (NPI 1902378722).
Provider details
- NPI number
- 1902378722
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Dana Christian, Office Manager(816) 525-1655
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
818 Nw Park Ln
Lees Summit, MO 64063-1880
Phone: (816) 525-1655
Fax: (816) 524-7800
Street-level locationGet directions
Mailing address
818 Nw Park Ln
Lees Summit, MO 64063-1880
Registry dates
- Enumerated
- 2018-12-18
- Last updated
- 2018-12-18
Frequently asked questions
- What is Etheridge Complete Dentistry LLC's NPI number?
- Etheridge Complete Dentistry LLC's National Provider Identifier (NPI) is 1902378722, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Etheridge Complete Dentistry LLC?
- Etheridge Complete Dentistry LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Etheridge Complete Dentistry LLC located?
- Etheridge Complete Dentistry LLC's practice location on file with NPPES is 818 Nw Park Ln, Lees Summit, MO 64063-1880.
- What is Etheridge Complete Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Etheridge Complete Dentistry LLC is (816) 525-1655.
- Who is the authorized official for Etheridge Complete Dentistry LLC?
- The authorized official listed on Etheridge Complete Dentistry LLC's NPPES record is Dana Christian, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Etheridge Complete Dentistry LLC's NPI active?
- Yes — Etheridge Complete Dentistry LLC's NPI (1902378722) is active in the NPPES registry as of the last update on 2018-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.