| Buzbee Dental Clinic, Inc | |
|
1244 E Lark St Springfield MO 65804-7357 | |
| (417) 881-1388 | |
| (417) 889-1209 |
| Full Name | Buzbee Dental Clinic, Inc |
|---|---|
| Speciality | Dentist |
| Location | 1244 E Lark St, Springfield, Missouri |
| Authorized Official Name and Position | Gary L Buzbee (FOUNDING PARTNER) |
| Authorized Official Contact | 4178811388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buzbee Dental Clinic, Inc 1244 E Lark St Springfield MO 65804-7357 Ph: (417) 881-1388 | Buzbee Dental Clinic, Inc 1244 E Lark St Springfield MO 65804-7357 Ph: (417) 881-1388 |
| NPI Number | 1952691982 |
|---|---|
| Provider Enumeration Date | 04/11/2011 |
| Last Update Date | 04/11/2011 |
| Medicare PECOS PAC ID | 0446620165 |
|---|---|
| Medicare Enrollment ID | O20221221001034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952691982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 012276 (Missouri) | Primary |
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