| Diamond Ridge Dentistry Llc | |
|
994 Diamond Rdg Ste 200 Jefferson City MO 65109-6885 | |
| (573) 635-3576 | |
| (573) 634-2597 |
| Full Name | Diamond Ridge Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 994 Diamond Rdg Ste 200, Jefferson City, Missouri |
| Authorized Official Name and Position | Elana Marie York - De Hoyos (GENERAL DENTIST) |
| Authorized Official Contact | 5737741344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Ridge Dentistry Llc 994 Diamond Rdg Ste 200 Jefferson City MO 65109-6885 Ph: (573) 635-3576 | Diamond Ridge Dentistry Llc 994 Diamond Rdg Ste 200 Jefferson City MO 65109-6885 Ph: (573) 635-3576 |
| NPI Number | 1427800952 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 04/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427800952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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West Edgewood Dental, Vanderveen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3306 Emerald Ln, Jefferson City, MO 65109 Phone: 573-634-2222 Fax: 573-634-8812 | |
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Harry J Richter, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-634-3413 Fax: 573-634-5818 | |
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