| Mccoy Samples Mattingly Dental Clinic | |
|
850 Fairway Dr Chillicothe MO 64601 | |
| (660) 646-3802 | |
| (660) 646-3887 |
| Full Name | Mccoy Samples Mattingly Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 850 Fairway Dr, Chillicothe, Missouri |
| Authorized Official Name and Position | Rolfe C Mccoy (CEO) |
| Authorized Official Contact | 6606463802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccoy Samples Mattingly Dental Clinic 850 Fairway Dr Po Box 1167 Chillicothe MO 64601 Ph: () - | Mccoy Samples Mattingly Dental Clinic 850 Fairway Dr Chillicothe MO 64601 Ph: (660) 646-3802 |
| NPI Number | 1457551483 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 02/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457551483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Neal Family Dentistry,d.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Adam Dr, Chillicothe, MO 64601 Phone: 660-646-4352 Fax: 660-646-6282 |