Buffalo Prairie Dental | |
1006 S. Ash Buffalo MO 65622-0707 | |
(417) 345-2793 | |
(417) 345-8654 |
Full Name | Buffalo Prairie Dental |
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Speciality | Dentist |
Location | 1006 S. Ash, Buffalo, Missouri |
Authorized Official Name and Position | Carol Jean Throckmorton (OFFICE MANAGER) |
Authorized Official Contact | 4173452793 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Buffalo Prairie Dental Po Box 707 1006 S. Ash Buffalo MO 65622-0707 Ph: (417) 345-2793 | Buffalo Prairie Dental 1006 S. Ash Buffalo MO 65622-0707 Ph: (417) 345-2793 |
NPI Number | 1912276809 |
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Provider Enumeration Date | 12/21/2011 |
Last Update Date | 12/21/2011 |
Identifier | Type | State | Issuer |
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1912276809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 012536 (Missouri) | Primary |