| Dental 32 | |
|
2142 S Brentwood Blvd Springfield MO 65804-2539 | |
| (417) 881-3200 | |
| Not Available |
| Full Name | Dental 32 |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2142 S Brentwood Blvd, Springfield, Missouri |
| Authorized Official Name and Position | Ashley Dawn Meyer (DENTIST) |
| Authorized Official Contact | 4178813200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental 32 2142 S Brentwood Blvd Springfield MO 65804-2539 Ph: (417) 881-3200 | Dental 32 2142 S Brentwood Blvd Springfield MO 65804-2539 Ph: (417) 881-3200 |
| NPI Number | 1447765029 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 12/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447765029 | NPI | - | NPPES |
| 1689710873 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2014016823 (Missouri) | Primary |
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