Farmington Dental Care | |
520 W. Pine Street Farmington MO 63640-1426 | |
(573) 756-4245 | |
Not Available |
Full Name | Farmington Dental Care |
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Speciality | Dentist - General Practice |
Location | 520 W. Pine Street, Farmington, Missouri |
Authorized Official Name and Position | Kendra Walker (CREDENTIALING TEAM LEAD) |
Authorized Official Contact | 2175408513 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Farmington Dental Care 520 W. Pine Street Farmington MO 63640-1426 Ph: (573) 756-4245 | Farmington Dental Care 520 W. Pine Street Farmington MO 63640-1426 Ph: (573) 756-4245 |
NPI Number | 1417346016 |
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Provider Enumeration Date | 01/20/2015 |
Last Update Date | 04/25/2018 |
Identifier | Type | State | Issuer |
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1417346016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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