Branson Braces | |
168 S Payne Stewart Dr Ste 100 Branson MO 65616-2792 | |
(417) 414-0011 | |
Not Available |
Full Name | Branson Braces |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 168 S Payne Stewart Dr, Branson, Missouri |
Authorized Official Name and Position | Mark Dake (OWNER) |
Authorized Official Contact | 5017812777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Branson Braces Po Box 24470 Little Rock AR 72221-4470 Ph: (501) 781-2777 | Branson Braces 168 S Payne Stewart Dr Ste 100 Branson MO 65616-2792 Ph: (417) 414-0011 |
NPI Number | 1326425711 |
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Provider Enumeration Date | 05/05/2015 |
Last Update Date | 05/05/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326425711 | NPI | - | NPPES |
1043609522 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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Branson Braces Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 168 S. Payne Stewart Dr., Ste 100, Branson, MO 65616 Phone: 417-335-4746 | |
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