| Ads Rolla Lp | |
|
416 S Bishop Ave Rolla MO 65401-4311 | |
| (573) 426-5447 | |
| (573) 426-5659 |
| Full Name | Ads Rolla Lp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 416 S Bishop Ave, Rolla, 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 |
|---|---|
| Ads Rolla Lp Po Box 2933 Springfield MO 65801-2933 Ph: (417) 501-1082 | Ads Rolla Lp 416 S Bishop Ave Rolla MO 65401-4311 Ph: (573) 426-5447 |
| NPI Number | 1548035504 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548035504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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