Provider Demographics
NPI:1841373784
Name:DOBBS, LINDA SUE (DDS)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:SUE
Last Name:DOBBS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SUE
Other - Middle Name:
Other - Last Name:DOBBS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:9815 E 51ST TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64133-2229
Mailing Address - Country:US
Mailing Address - Phone:816-737-2826
Mailing Address - Fax:816-404-6903
Practice Address - Street 1:7900 LEES SUMMIT RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64139-1236
Practice Address - Country:US
Practice Address - Phone:816-404-6913
Practice Address - Fax:816-404-6903
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO156091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice