| Jefferson City Oral And Maxillofacial Surgery, Llc | |
|
1400 Southwest Blvd Suite C Jefferson City MO 65109-2490 | |
| (573) 635-7216 | |
| (573) 635-2646 |
| Full Name | Jefferson City Oral And Maxillofacial Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1400 Southwest Blvd, Jefferson City, Missouri |
| Authorized Official Name and Position | Dana Kay Baker (OFFICE MANAGER) |
| Authorized Official Contact | 5736357216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson City Oral And Maxillofacial Surgery, Llc 1400 Southwest Blvd Suite C Jefferson City MO 65109-2490 Ph: (573) 635-7216 | Jefferson City Oral And Maxillofacial Surgery, Llc 1400 Southwest Blvd Suite C Jefferson City MO 65109-2490 Ph: (573) 635-7216 |
| NPI Number | 1760599732 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 01/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760599732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Progressive Orthodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3306 Emerald Ln, Jefferson City, MO 65109 Phone: 573-206-8777 | |
Michael H. Jones Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E High St, Jefferson City, MO 65101 Phone: 573-636-7432 | |
West Edgewood Dental, Vanderveen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3306 Emerald Ln, Jefferson City, MO 65109 Phone: 573-634-2222 Fax: 573-634-8812 | |
Paul N Cardon Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 W Stadium Blvd Ste B, Jefferson City, MO 65109 Phone: 573-636-5522 Fax: 573-636-3328 | |
Harry J Richter, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-634-3413 Fax: 573-634-5818 | |
Brian L Henningsen Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Southwest Blvd # B, Jefferson City, MO 65109 Phone: 573-635-4852 | |
Jason A Dunville Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3237 W Truman Blvd Ste 201, Jefferson City, MO 65109 Phone: 573-635-2571 |