Provider Demographics
NPI:1447365002
Name:HITE, DON STANLEY (DDS)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:STANLEY
Last Name:HITE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 SOUTH WHITNEY AVENUE
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6765
Mailing Address - Country:US
Mailing Address - Phone:816-373-7374
Mailing Address - Fax:816-373-7361
Practice Address - Street 1:3820 SOUTH WHITNEY AVENUE
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6765
Practice Address - Country:US
Practice Address - Phone:816-373-7374
Practice Address - Fax:816-373-7361
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO118381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice