Ads Republic Lp | |
411 Us Highway 60 E Republic MO 65738-1940 | |
(417) 501-1082 | |
Not Available |
Full Name | Ads Republic Lp |
---|---|
Speciality | Clinic/center - Dental |
Location | 411 Us Highway 60 E, Republic, Missouri |
Authorized Official Name and Position | Kari A Hicks (MANAGING DIRECTOR) |
Authorized Official Contact | 4175011082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ads Republic Lp Po Box 2933 Springfield MO 65801-2933 Ph: () - | Ads Republic Lp 411 Us Highway 60 E Republic MO 65738-1940 Ph: (417) 501-1082 |
NPI Number | 1609641679 |
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Provider Enumeration Date | 11/20/2023 |
Last Update Date | 11/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609641679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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