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1401 Forum Blvd Ste 203 Columbia MO 65203-1915 | |
| (573) 446-7181 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1401 Forum Blvd Ste 203, Columbia, Missouri |
| Authorized Official Name and Position | Michelle Jennifer Mooney (PARTNER/DENTIST) |
| Authorized Official Contact | 8166749439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2310 Forum Blvd Apt A Columbia MO 65203-5461 Ph: () - | 1401 Forum Blvd Ste 203 Columbia MO 65203-1915 Ph: (573) 446-7181 |
| NPI Number | 1407627409 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 02/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407627409 | NPI | - | NPPES |
| 1285047381 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Michael S. Todd D.m.d., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Vandiver Dr, Suite 104, Columbia, MO 65202 Phone: 573-814-1694 Fax: 573-814-2845 | |
Plaza Dental Implant & Surgical Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N Keene St, Suite 209, Columbia, MO 65201 Phone: 573-817-2220 Fax: 573-817-2808 | |
Steven E. Taylor Dds Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Forum Blvd, Suite 12, Columbia, MO 65203 Phone: 573-446-7259 |