| Dental Care Of Nixa | |
|
600 Mccroskey St Nixa MO 65714-9408 | |
| (417) 725-3108 | |
| (417) 725-2918 |
| Full Name | Dental Care Of Nixa |
|---|---|
| Speciality | Dentist |
| Location | 600 Mccroskey St, Nixa, Missouri |
| Authorized Official Name and Position | Joseph R. Kofron (OWNER) |
| Authorized Official Contact | 4177259108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care Of Nixa 600 Mccroskey St Nixa MO 65714-9408 Ph: (417) 725-3108 | Dental Care Of Nixa 600 Mccroskey St Nixa MO 65714-9408 Ph: (417) 725-3108 |
| NPI Number | 1386819605 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386819605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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