| Bohon Sleep And Tmj Therapy | |
|
1505 Chapel Hill Rd Suite 203 Columbia MO 65203-5506 | |
| (573) 303-5501 | |
| Not Available |
| Full Name | Bohon Sleep And Tmj Therapy |
|---|---|
| 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 |
|---|---|
| Bohon Sleep And Tmj Therapy 1505 Chapel Hill Rd Suite 203 Columbia MO 65203-5506 Ph: () - | Bohon Sleep And Tmj Therapy 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 |
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