| |
1505 Chapel Hill Rd Suite 203 Columbia MO 65203-5506 | |
(573) 303-5501 | |
Not Available |
Full Name | |
---|---|
Speciality | Dentist |
Location | 1505 Chapel Hill Rd, Columbia, Missouri |
Authorized Official Name and Position | Richard S Bohon (OWNER/DDS) |
Authorized Official Contact | 3092828565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1505 Chapel Hill Rd Suite 203 Columbia MO 65203-5506 Ph: () - | 1505 Chapel Hill Rd Suite 203 Columbia MO 65203-5506 Ph: (573) 303-5501 |
NPI Number | 1871900977 |
---|---|
Provider Enumeration Date | 07/21/2014 |
Last Update Date | 03/21/2022 |
Medicare PECOS PAC ID | 6608096045 |
---|---|
Medicare Enrollment ID | O20141006002420 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871900977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Provider Name | Richard Stanley Bohon |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1669540985 PECOS PAC ID: 7416177852 Enrollment ID: I20141006002457 |
Michael S. Todd D.m.d., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Vandiver Dr, Suite 104, Columbia, MO 65202 Phone: 573-814-1694 Fax: 573-814-2845 | |
Plaza Dental Implant & Surgical Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N Keene St, Suite 209, Columbia, MO 65201 Phone: 573-817-2220 Fax: 573-817-2808 | |
Steven E. Taylor Dds Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Forum Blvd, Suite 12, Columbia, MO 65203 Phone: 573-446-7259 |