| Ampt, Llc | |
|
2990 Raider Way Poplar Bluff MO 63901-5372 | |
| (573) 785-6699 | |
| (573) 785-3424 |
| Full Name | Ampt, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2990 Raider Way, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Anderson Mark Gilberto (OWNER) |
| Authorized Official Contact | 5737856699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ampt, Llc 2990 Raider Way Poplar Bluff MO 63901-5372 Ph: (573) 785-6699 | Ampt, Llc 2990 Raider Way Poplar Bluff MO 63901-5372 Ph: (573) 785-6699 |
| NPI Number | 1780426445 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780426445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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