| All American Dental | |
|
601 W Nifong Blvd Ste 3a Columbia MO 65203-6804 | |
| (573) 449-1918 | |
| (573) 817-3161 |
| Full Name | All American Dental |
|---|---|
| Speciality | Dentist |
| Location | 601 W Nifong Blvd, Columbia, Missouri |
| Authorized Official Name and Position | John Louis Wietholder (DENTIST/OWNER) |
| Authorized Official Contact | 5734491918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All American Dental 601 W Nifong Blvd Ste 3a Columbia MO 65203-6804 Ph: (573) 449-1918 | All American Dental 601 W Nifong Blvd Ste 3a Columbia MO 65203-6804 Ph: (573) 449-1918 |
| NPI Number | 1063861474 |
|---|---|
| Provider Enumeration Date | 06/07/2016 |
| Last Update Date | 05/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063861474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2016009847 (Missouri) | Primary |
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