Etheridge Complete Dentistry LLC
Etheridge Complete Dentistry LLC is a healthcare organization registered as General Practice Dentistry in Lees Summit, MO, holding Type 2 (organization) NPI 1902378722 since 2018. The authorized official on file is Dana Christian, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902378722 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Etheridge Complete Dentistry LLC |
| Practice address | 818 NW PARK LN, Lees Summit, MO, 64063 |
| Phone | 8165251655 |
| Fax | 8165247800 |
| Enumeration date | 2018-12-18 |
| Last updated in NPPES | 2018-12-18 |
Authorized official
| Name | Dana Christian |
|---|---|
| Title | Office Manager |
| Phone | 8165251655 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Etheridge Complete Dentistry LLC NPI: 1902378722 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 818 NW PARK LN, Lees Summit, MO, 64063
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861605867 | Edward Haggerty | Individual | Dentist | Lees Summit, MO |
Verify this record
Cross-check NPI 1902378722 against the authoritative CMS record: view Etheridge Complete Dentistry LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Etheridge Complete Dentistry LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2018-12-18.