| Dental Depot Of Blue Springs Pllc | |
|
1500 S 7 Hwy Blue Springs MO 64014-3943 | |
| (816) 295-7927 | |
| (816) 874-6812 |
| Full Name | Dental Depot Of Blue Springs Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1500 S 7 Hwy, Blue Springs, Missouri |
| Authorized Official Name and Position | Gaylon Zissa (PROFESSIONAL RELATIONS MANAGER) |
| Authorized Official Contact | 4059458941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Depot Of Blue Springs Pllc 2828 Nw 30th St Oklahoma City OK 73112-7404 Ph: (816) 295-7927 | Dental Depot Of Blue Springs Pllc 1500 S 7 Hwy Blue Springs MO 64014-3943 Ph: (816) 295-7927 |
| NPI Number | 1164033122 |
|---|---|
| Provider Enumeration Date | 08/13/2020 |
| Last Update Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164033122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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