Fredericktown Family Dental | |
731 W Main St Fredericktown MO 63645-1113 | |
(573) 783-4100 | |
Not Available |
Full Name | Fredericktown Family Dental |
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Speciality | Dentist - General Practice |
Location | 731 W Main St, Fredericktown, Missouri |
Authorized Official Name and Position | John Adams (OWNER) |
Authorized Official Contact | 5737834100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fredericktown Family Dental 731 W Main St Fredericktown MO 63645-1113 Ph: (573) 783-4100 | Fredericktown Family Dental 731 W Main St Fredericktown MO 63645-1113 Ph: (573) 783-4100 |
NPI Number | 1043689557 |
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Provider Enumeration Date | 09/15/2015 |
Last Update Date | 09/16/2015 |
Identifier | Type | State | Issuer |
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1043689557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |