| Fox Grape Family Dentistry | |
|
3250 E. Battlefield Rd. Suite S Springfield MO 65804-4051 | |
| (417) 882-3335 | |
| (417) 882-3435 |
| Full Name | Fox Grape Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3250 E. Battlefield Rd., Springfield, Missouri |
| Authorized Official Name and Position | Howard E Shayne (OWNER) |
| Authorized Official Contact | 4178823335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Grape Family Dentistry 3250 E. Battlefield Rd. Suite S Springfield MO 65804-4051 Ph: (417) 882-3335 | Fox Grape Family Dentistry 3250 E. Battlefield Rd. Suite S Springfield MO 65804-4051 Ph: (417) 882-3335 |
| NPI Number | 1144374984 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144374984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 015340 (Missouri) | Primary |
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