Dr. Kenneth Colbert Dds Inc | |
Po Box Aq 204 W Main St Steelville MO 65565-0609 | |
(573) 775-2636 | |
Not Available |
Full Name | Dr. Kenneth Colbert Dds Inc |
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Speciality | Clinic/center - Dental |
Location | Po Box Aq, Steelville, Missouri |
Authorized Official Name and Position | Kenneth Colbert (PRESIDENT) |
Authorized Official Contact | 5737752636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr. Kenneth Colbert Dds Inc Po Box Aq 204 W. Main St Steelville MO 65565-0609 Ph: (573) 775-2636 | Dr. Kenneth Colbert Dds Inc Po Box Aq 204 W Main St Steelville MO 65565-0609 Ph: (573) 775-2636 |
NPI Number | 1174057178 |
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Provider Enumeration Date | 04/17/2017 |
Last Update Date | 04/17/2017 |
Identifier | Type | State | Issuer |
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1174057178 | NPI | - | NPPES |
4012188050 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 013305 (Missouri) | Primary |