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Mrs. Irene Broyles, DDS
General Practice Dentistry in Raymore, Missouri
NPI 1851503163

Irene Broyles is a General Practice Dentistry based in Raymore, MO and is specialized in General Practice. Irene Broyles practices in Raymore, MO and has the professional credentials of DDS. The NPI Number for Irene Broyles is 1851503163 and holds a License No. 015460 (Missouri).

The current practice location address for Irene Broyles is 209 S Washington St, Raymore, MO and can be reached out via phone at 816-331-3456 and via fax at 816-331-0035.

Location: 209 S Washington St, Raymore, MO, 64083-9729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851503163
Provider Name
Irene Broyles
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
209 S Washington St, Raymore, MO, 64083-9729
Phone Number
816-331-3456
Fax Number
816-331-0035
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
421427364 01 MO TAX ID
institution
Provider Business Practice Location Address Details
Address
209 S Washington St
City
Raymore
State
Missouri
Zip
64083-9729
Phone Number
816-331-3456
Fax Number
816-331-0035
person
Provider Business Mailing Address Details
Address
209 S Washington St
City
Raymore
State
Missouri
Zip
64083-9729
Phone Number
816-331-3456
Fax Number
816-331-0035
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
015460 (Missouri)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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