Marshall Dental Care, Llc | |
263 S Jefferson Ave Marshall MO 65340-2134 | |
(660) 886-6843 | |
(660) 886-7855 |
Full Name | Marshall Dental Care, Llc |
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Speciality | Clinic/center - Dental |
Location | 263 S Jefferson Ave, Marshall, Missouri |
Authorized Official Name and Position | Jerry C Kelly (MEMBER) |
Authorized Official Contact | 6608866843 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marshall Dental Care, Llc 263 S Jefferson Ave Marshall MO 65340-2134 Ph: (660) 886-6843 | Marshall Dental Care, Llc 263 S Jefferson Ave Marshall MO 65340-2134 Ph: (660) 886-6843 |
NPI Number | 1962918425 |
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Provider Enumeration Date | 12/20/2017 |
Last Update Date | 12/20/2017 |
Identifier | Type | State | Issuer |
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1962918425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 12712 (Missouri) | Primary |
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