Provider Demographics
NPI:1053974139
Name:BLUE SPRINGS DENTAL DANIEL J TOKAR DDS PC
Entity type:Organization
Organization Name:BLUE SPRINGS DENTAL DANIEL J TOKAR DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOSHUA
Authorized Official - Last Name:TOKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-988-3400
Mailing Address - Street 1:5201 ROE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROELAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2390
Mailing Address - Country:US
Mailing Address - Phone:913-828-0060
Mailing Address - Fax:
Practice Address - Street 1:624 SW US HIGHWAY 40
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-3231
Practice Address - Country:US
Practice Address - Phone:816-988-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-15
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty