| Joe David Hutchison, D.d.s., P.c. | |
|
22 S West St Perryville MO 63775-2547 | |
| (573) 547-6691 | |
| (573) 547-6691 |
| Full Name | Joe David Hutchison, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22 S West St, Perryville, Missouri |
| Authorized Official Name and Position | Joseph David Hutchison (OWNER/DENTIST) |
| Authorized Official Contact | 5735476691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joe David Hutchison, D.d.s., P.c. 22 S West St Perryville MO 63775-2547 Ph: (573) 768-9155 | Joe David Hutchison, D.d.s., P.c. 22 S West St Perryville MO 63775-2547 Ph: (573) 547-6691 |
| NPI Number | 1245313436 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245313436 | NPI | - | NPPES |
| 838501 | Other | UNITED CONCORDIA | |
| 15444 | Other | BLUECROSSBLUESHIELD OF MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11845 (Missouri) | Primary |
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