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400 Jules St Ste 440 Saint Joseph MO 64501-1774 | |
| (816) 364-1911 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 400 Jules St Ste 440, Saint Joseph, Missouri |
| Authorized Official Name and Position | David M Christensen (MANAGER) |
| Authorized Official Contact | 8163641911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
400 Jules St Ste 440 Saint Joseph MO 64501-1774 Ph: (816) 364-1911 | 400 Jules St Ste 440 Saint Joseph MO 64501-1774 Ph: (816) 364-1911 |
| NPI Number | 1184854390 |
|---|---|
| Provider Enumeration Date | 07/22/2009 |
| Last Update Date | 07/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184854390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2008035682 (Missouri) | Primary |
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Midwestperiodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 W Saint Maartens Dr, Suite A, Saint Joseph, MO 64506 Phone: 816-364-3325 |