Deere Dentistry | |
205 E 4th St Portageville MO 63873-1464 | |
(573) 379-5407 | |
(573) 379-5407 |
Full Name | Deere Dentistry |
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Speciality | Clinic/center - Dental |
Location | 205 E 4th St, Portageville, Missouri |
Authorized Official Name and Position | Sheilah K Deere (OWNER/OFFICE MANAGER) |
Authorized Official Contact | 5733795407 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Deere Dentistry 205 E 4th St Portageville MO 63873-1464 Ph: (573) 379-5407 | Deere Dentistry 205 E 4th St Portageville MO 63873-1464 Ph: (573) 379-5407 |
NPI Number | 1912314378 |
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Provider Enumeration Date | 07/17/2014 |
Last Update Date | 07/17/2014 |
Identifier | Type | State | Issuer |
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1912314378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |