Gasconade Hills Dental Centers Ltd | |
255 Eastlawn Ave St Robert MO 65584 | |
(573) 336-5563 | |
(573) 336-5916 |
Full Name | Gasconade Hills Dental Centers Ltd |
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Speciality | Dentist |
Location | 255 Eastlawn Ave, St Robert, Missouri |
Authorized Official Name and Position | George Henry Bailey (PRESIDENT) |
Authorized Official Contact | 5733365563 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gasconade Hills Dental Centers Ltd Po Box 455 Waynesville MO 65583 Ph: (573) 336-5563 | Gasconade Hills Dental Centers Ltd 255 Eastlawn Ave St Robert MO 65584 Ph: (573) 336-5563 |
NPI Number | 1023281615 |
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Provider Enumeration Date | 04/04/2008 |
Last Update Date | 04/04/2008 |
Identifier | Type | State | Issuer |
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1023281615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | MD12059 (Missouri) | Primary |