Provider Demographics
NPI:1760374854
Name:J DANIEL FLEMING DDS PC
Entity type:Organization
Organization Name:J DANIEL FLEMING DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABDULFATTAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-TURCK
Authorized Official - Suffix:
Authorized Official - Credentials:BDS
Authorized Official - Phone:816-841-0206
Mailing Address - Street 1:1819 WYANDOTTE ST STE A
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-1980
Mailing Address - Country:US
Mailing Address - Phone:816-841-0206
Mailing Address - Fax:
Practice Address - Street 1:1819 WYANDOTTE ST STE A
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-1980
Practice Address - Country:US
Practice Address - Phone:816-841-0206
Practice Address - Fax:816-221-5503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental