| Douglas A Wyckoff Dds Pc | |
|
1801 N Walnut Cameron MO 64429 | |
| (816) 632-2822 | |
| (816) 632-5245 |
| Full Name | Douglas A Wyckoff Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1801 N Walnut, Cameron, Missouri |
| Authorized Official Name and Position | Douglas Allen Wyckoff (OWNER) |
| Authorized Official Contact | 8166322822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas A Wyckoff Dds Pc Po Box 464 Cameron MD 64429 Ph: (816) 632-2822 | Douglas A Wyckoff Dds Pc 1801 N Walnut Cameron MO 64429 Ph: (816) 632-2822 |
| NPI Number | 1376734145 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376734145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 015416 (Missouri) | Primary |
Dentistry & Denture Services Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Northland Dr, Cameron, MO 64429 Phone: 816-632-6700 Fax: 816-632-6702 |