| Admire Your Smile Llc | |
|
1600 B Southwest Blvd Jefferson City MO 65109 | |
| (573) 635-4852 | |
| (573) 635-1167 |
| Full Name | Admire Your Smile Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1600 B Southwest Blvd, Jefferson City, Missouri |
| Authorized Official Name and Position | Corey Mack (OWNER/DENTIST) |
| Authorized Official Contact | 6202400565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Admire Your Smile Llc 1600 Southwest Blvd Suite B Jefferson City MO 65109 Ph: (573) 635-4852 | Admire Your Smile Llc 1600 B Southwest Blvd Jefferson City MO 65109 Ph: (573) 635-4852 |
| NPI Number | 1508624339 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508624339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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