| Great Impression Dental Pc | |
|
1480 W Ashley Rd Boonville MO 65233-2141 | |
| (660) 882-7522 | |
| (660) 882-9022 |
| Full Name | Great Impression Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 1480 W Ashley Rd, Boonville, Missouri |
| Authorized Official Name and Position | Joseph Thomas Kelly (PRESIDENT-OWNER) |
| Authorized Official Contact | 6608827522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Impression Dental Pc 1480 W Ashley Rd Boonville MO 65233-2141 Ph: (660) 882-7522 | Great Impression Dental Pc 1480 W Ashley Rd Boonville MO 65233-2141 Ph: (660) 882-7522 |
| NPI Number | 1952761819 |
|---|---|
| Provider Enumeration Date | 03/04/2016 |
| Last Update Date | 03/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952761819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2014008013 (Missouri) | Primary |
Ricky D. Powell, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1945 Boone Villa Dr, B, Boonville, MO 65233 Phone: 660-882-6452 | |
Scottkoerner, D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Main St, Boonville, MO 65233 Phone: 660-882-7097 |