Provider Demographics
NPI:1902581283
Name:KMAPLES ENTERPRISES LLC
Entity Type:Organization
Organization Name:KMAPLES ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF MEDICAL DENTISTRY
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:MAPLES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:417-496-0547
Mailing Address - Street 1:PO BOX 1239
Mailing Address - Street 2:
Mailing Address - City:FORSYTH
Mailing Address - State:MO
Mailing Address - Zip Code:65653-1239
Mailing Address - Country:US
Mailing Address - Phone:417-251-9179
Mailing Address - Fax:
Practice Address - Street 1:187 ROCKHILL DRIVE
Practice Address - Street 2:SUITE 4
Practice Address - City:FORSYTH
Practice Address - State:MO
Practice Address - Zip Code:65653
Practice Address - Country:US
Practice Address - Phone:417-251-9179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty