| Joplin Oral Surgery Pc | |
|
2700 Mcclelland Blvd Bldg C Suite 302 Joplin MO 64804-1623 | |
| (417) 624-2333 | |
| (405) 848-0033 |
| Full Name | Joplin Oral Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2700 Mcclelland Blvd, Joplin, Missouri |
| Authorized Official Name and Position | Matthew W Sheffer (OWNER) |
| Authorized Official Contact | 4176242333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joplin Oral Surgery Pc 2700 Mcclelland Blvd Bldg C Suite 302 Joplin MO 64804-1623 Ph: (417) 624-2333 | Joplin Oral Surgery Pc 2700 Mcclelland Blvd Bldg C Suite 302 Joplin MO 64804-1623 Ph: (417) 624-2333 |
| NPI Number | 1639345937 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639345937 | NPI | - | NPPES |
| 2007032185 | Other | MO | ORAL SURGERY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2007032185 (Missouri) | Primary |
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