| Columbia Healthy Smiles | |
|
409 Vandiver Dr Bldg 4 Suite 101 Columbia MO 65202-3754 | |
| (573) 875-7071 | |
| (573) 875-7072 |
| Full Name | Columbia Healthy Smiles |
|---|---|
| Speciality | Dentist |
| Location | 409 Vandiver Dr Bldg 4, Columbia, Missouri |
| Authorized Official Name and Position | Philip A. Batson (SHAREHOLDER/DENTIST) |
| Authorized Official Contact | 5738757071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Healthy Smiles 409 Vandiver Dr Bldg 4 Suite 101 Columbia MO 65202-3754 Ph: (573) 875-7071 | Columbia Healthy Smiles 409 Vandiver Dr Bldg 4 Suite 101 Columbia MO 65202-3754 Ph: (573) 875-7071 |
| NPI Number | 1790198422 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 06/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790198422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2014016764 (Missouri) | Primary |
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