| Lake Dental Clinic Llc | |
|
1497 N State Highway 5 Camdenton MO 65020 | |
| (573) 346-7278 | |
| (573) 346-2176 |
| Full Name | Lake Dental Clinic Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1497 N State Highway 5, Camdenton, Missouri |
| Authorized Official Name and Position | Vernon Dale Mcelwee (OWNER) |
| Authorized Official Contact | 5733467278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Dental Clinic Llc Po Box 820 Camdenton MO 65020 Ph: (573) 346-7278 | Lake Dental Clinic Llc 1497 N State Highway 5 Camdenton MO 65020 Ph: (573) 346-7278 |
| NPI Number | 1720141849 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720141849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Affordable Dentures & Implants - Camdenton Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Cecil St Ste G, Camdenton, MO 65020 Phone: 573-317-1473 |