| Columbia Oral And Maxillofacial Services, Llc | |
|
1000 W Nifong Blvd Bldg 4 Suite 100 Columbia MO 65201 | |
| (573) 443-0466 | |
| (573) 442-5417 |
| Full Name | Columbia Oral And Maxillofacial Services, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1000 W Nifong Blvd, Columbia, Missouri |
| Authorized Official Name and Position | Eva Trabue (OFFICE MANAGER) |
| Authorized Official Contact | 5734430466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Oral And Maxillofacial Services, Llc 1000 W Nifong Blvd Bldg 4 Suite 100 Columbia MO 65201 Ph: (573) 443-0466 | Columbia Oral And Maxillofacial Services, Llc 1000 W Nifong Blvd Bldg 4 Suite 100 Columbia MO 65201 Ph: (573) 443-0466 |
| NPI Number | 1447736715 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 07/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447736715 | NPI | - | NPPES |
| 1538272976 | Other | MO | INDIVIDUAL NPI FOR ANDREWS |
| 1891006557 | Other | MO | INDIVIDUAL NPI FOR ATWOOD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Affordable Dentures & Implants - Columbia Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3310 Bluff Creek Dr, Columbia, MO 65201 Phone: 573-258-8180 | |
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