Advanced Dental Care Of Chesterfield Inc | |
2104 W Chesterfield Blvd Springfield MO 65804 | |
(417) 889-5015 | |
(417) 889-5016 |
Full Name | Advanced Dental Care Of Chesterfield Inc |
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Speciality | Dentist |
Location | 2104 W Chesterfield Blvd, Springfield, Missouri |
Authorized Official Name and Position | John C Durling (OWNER) |
Authorized Official Contact | 4177824295 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Dental Care Of Chesterfield Inc 2827 Arizona Ave Joplin MO 64804 Ph: (417) 782-5005 | Advanced Dental Care Of Chesterfield Inc 2104 W Chesterfield Blvd Springfield MO 65804 Ph: (417) 889-5015 |
NPI Number | 1861596181 |
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Provider Enumeration Date | 09/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861596181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2000144128 (Missouri) | Primary |
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