| Kirksville Dental Group | |
|
1916 N Baltimore St Kirksville MO 63501-1902 | |
| (660) 665-1901 | |
| Not Available |
| Full Name | Kirksville Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1916 N Baltimore St, Kirksville, Missouri |
| Authorized Official Name and Position | Pam Morgan (TREATMENT COORDINATOR) |
| Authorized Official Contact | 6606651901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirksville Dental Group 1916 N Baltimore St Kirksville MO 63501-1902 Ph: (660) 665-1901 | Kirksville Dental Group 1916 N Baltimore St Kirksville MO 63501-1902 Ph: (660) 665-1901 |
| NPI Number | 1306993373 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306993373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Northeast Missouri Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 W Jefferson St, Kirksville, MO 63501 Phone: 660-665-2741 Fax: 660-665-3109 |