| Bernie Dental Clinic | |
|
741 S Walnut St Bernie MO 63822-8900 | |
| (573) 293-6930 | |
| (573) 293-6841 |
| Full Name | Bernie Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 741 S Walnut St, Bernie, Missouri |
| Authorized Official Name and Position | Sara Deane (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5733132500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernie Dental Clinic 741 South Walnut Bernie MO 63822 Ph: (573) 293-6930 | Bernie Dental Clinic 741 S Walnut St Bernie MO 63822-8900 Ph: (573) 293-6930 |
| NPI Number | 1598069247 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 03/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598069247 | NPI | - | NPPES |
| 1598069247 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |