| Columbia Family Dental, Llc | |
|
2718 Forum Blvd Ste 1 Columbia MO 65203-5451 | |
| (573) 446-1775 | |
| Not Available |
| Full Name | Columbia Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2718 Forum Blvd Ste 1, Columbia, Missouri |
| Authorized Official Name and Position | Cardon Creed (PRESIDENT) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Family Dental, Llc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Columbia Family Dental, Llc 2718 Forum Blvd Ste 1 Columbia MO 65203-5451 Ph: (573) 446-1775 |
| NPI Number | 1538905278 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538905278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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The Colonies Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2516 Forum Blvd, Suite #200, Columbia, MO 65203 Phone: 573-446-6662 Fax: 573-446-6660 | |
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