J. Warren Hildreth, Jr Dds Pc Of Missouri | |
1050 W Hayward Dr Mount Vernon MO 65712-6329 | |
(417) 466-7184 | |
(417) 466-4081 |
Full Name | J. Warren Hildreth, Jr Dds Pc Of Missouri |
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Speciality | Dentist - General Practice |
Location | 1050 W Hayward Dr, Mount Vernon, Missouri |
Authorized Official Name and Position | Jay Warren Hildreth (OWNER) |
Authorized Official Contact | 4174667184 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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J. Warren Hildreth, Jr Dds Pc Of Missouri 1050 W Hayward Dr Mount Vernon MO 65712-6329 Ph: (417) 466-7184 | J. Warren Hildreth, Jr Dds Pc Of Missouri 1050 W Hayward Dr Mount Vernon MO 65712-6329 Ph: (417) 466-7184 |
NPI Number | 1952403040 |
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Provider Enumeration Date | 09/01/2006 |
Last Update Date | 09/29/2015 |
Identifier | Type | State | Issuer |
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1952403040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 011226 (Missouri) | Primary |
J. Warren Hildreth, Jr Dds Pc Of Missouri Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 558 E Mount Vernon Blvd, Mount Vernon, MO 65712 Phone: 417-466-7196 Fax: 417-466-2129 |