Broadway Smiles Dental, Llc | |
2016 S Broadway # 8439 Oak Grove MO 64075-8439 | |
(816) 690-7757 | |
Not Available |
Full Name | Broadway Smiles Dental, Llc |
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Speciality | Dentist - General Practice |
Location | 2016 S Broadway # 8439, Oak Grove, Missouri |
Authorized Official Name and Position | Staci Nicole Osgood (GENERAL DENTIST) |
Authorized Official Contact | 9135583919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Broadway Smiles Dental, Llc 6724 E 134th St Grandview MO 64030-3236 Ph: (913) 558-3919 | Broadway Smiles Dental, Llc 2016 S Broadway # 8439 Oak Grove MO 64075-8439 Ph: (816) 690-7757 |
NPI Number | 1144801622 |
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Provider Enumeration Date | 04/16/2021 |
Last Update Date | 04/16/2021 |
Identifier | Type | State | Issuer |
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1144801622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Ridgeview Family Dental Oakgrove Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2016 S Broadway, Oak Grove, MO 64075 Phone: 816-690-4141 |