Georgetown Dental Associates Llc | |
1601 Chapel Hill Rd Suite A Columbia MO 65203-5462 | |
(573) 445-9526 | |
(573) 445-7950 |
Full Name | Georgetown Dental Associates Llc |
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Speciality | Dentist - General Practice |
Location | 1601 Chapel Hill Rd, Columbia, Missouri |
Authorized Official Name and Position | Patrick Ryan (DENTIST) |
Authorized Official Contact | 5734459526 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Georgetown Dental Associates Llc 1601 Chapel Hill Rd Suite A Columbia MO 65203-5462 Ph: (573) 445-9526 | Georgetown Dental Associates Llc 1601 Chapel Hill Rd Suite A Columbia MO 65203-5462 Ph: (573) 445-9526 |
NPI Number | 1558745950 |
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Provider Enumeration Date | 07/15/2015 |
Last Update Date | 07/15/2015 |
Identifier | Type | State | Issuer |
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1558745950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2006014447 (Missouri) | Primary |
1223G0001X | Dentist - General Practice | 2002016155 (Missouri) | Secondary |
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