Provider Demographics
NPI:1871750380
Name:YENDES,MCGRAW, MCGRAW,WILLIAMS, PETERSON& MORRISON, DDS PC
Entity type:Organization
Organization Name:YENDES,MCGRAW, MCGRAW,WILLIAMS, PETERSON& MORRISON, DDS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-795-9500
Mailing Address - Street 1:19501 E 40 HWY
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-5475
Mailing Address - Country:US
Mailing Address - Phone:816-795-9500
Mailing Address - Fax:816-795-9501
Practice Address - Street 1:19501 E 40 HWY
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-5475
Practice Address - Country:US
Practice Address - Phone:816-795-9500
Practice Address - Fax:816-795-9501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental