| Coyle & Johnson, Oral & Maxillofacial Surgery, Llc | |
|
3015 S Providence Rd Columbia MO 65203-3670 | |
| (573) 449-4900 | |
| (573) 875-6142 |
| Full Name | Coyle & Johnson, Oral & Maxillofacial Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3015 S Providence Rd, Columbia, Missouri |
| Authorized Official Name and Position | John Anthony Johnson (OWNER) |
| Authorized Official Contact | 5734494900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coyle & Johnson, Oral & Maxillofacial Surgery, Llc 3015 S Providence Rd Columbia MO 65203-3670 Ph: (573) 449-4900 | Coyle & Johnson, Oral & Maxillofacial Surgery, Llc 3015 S Providence Rd Columbia MO 65203-3670 Ph: (573) 449-4900 |
| NPI Number | 1285874677 |
|---|---|
| Provider Enumeration Date | 02/25/2009 |
| Last Update Date | 02/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285874677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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