Ascend Dental Design, Llc | |
1200 E Woodhurst Dr Building U Springfield MO 65804-4240 | |
(417) 887-3100 | |
(417) 887-3066 |
Full Name | Ascend Dental Design, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1200 E Woodhurst Dr, Springfield, Missouri |
Authorized Official Name and Position | Jeffrey L Dorman (MEMBER) |
Authorized Official Contact | 4178873100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ascend Dental Design, Llc 1200 E Woodhurst Dr Building U Springfield MO 65804-4240 Ph: (417) 887-3100 | Ascend Dental Design, Llc 1200 E Woodhurst Dr Building U Springfield MO 65804-4240 Ph: (417) 887-3100 |
NPI Number | 1043691462 |
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Provider Enumeration Date | 06/11/2015 |
Last Update Date | 06/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043691462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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