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Contact Information

LON R TRACY, DDS
300 S. INDEPENDENCE STREET
HARRISONVILLE, MO64701
 Phone: 816-380-6000
 Fax: 816-380-6000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for LON R TRACY · (Male)

NPI Number 1073853586
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/20/2013
Last updated 06/05/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 014713
  • MO License # 14713
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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