Fountainview Dental Harrisonville Pllc | |
401 E Mechanic St Harrisonville MO 64701-2427 | |
(816) 887-2008 | |
Not Available |
Full Name | Fountainview Dental Harrisonville Pllc |
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Speciality | Dentist - General Practice |
Location | 401 E Mechanic St, Harrisonville, Missouri |
Authorized Official Name and Position | Anne Demmy (CREDENTIALING MANAGER) |
Authorized Official Contact | 9189980996 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fountainview Dental Harrisonville Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Fountainview Dental Harrisonville Pllc 401 E Mechanic St Harrisonville MO 64701-2427 Ph: (816) 887-2008 |
NPI Number | 1669149159 |
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Provider Enumeration Date | 08/24/2021 |
Last Update Date | 06/28/2023 |
Identifier | Type | State | Issuer |
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1669149159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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