Michelle Dearinger-davis Dds Llc | |
708 W Mount Vernon St Nixa MO 65714-9682 | |
(417) 494-5017 | |
(417) 494-5019 |
Full Name | Michelle Dearinger-davis Dds Llc |
---|---|
Speciality | Dentist |
Location | 708 W Mount Vernon St, Nixa, Missouri |
Authorized Official Name and Position | Michelle L Davis (OWNER/DENTIST) |
Authorized Official Contact | 4174945017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Michelle Dearinger-davis Dds Llc 708 W Mt Vernon Nixa MO 65714-0000 Ph: (417) 494-5017 | Michelle Dearinger-davis Dds Llc 708 W Mount Vernon St Nixa MO 65714-9682 Ph: (417) 494-5017 |
NPI Number | 1548635055 |
---|---|
Provider Enumeration Date | 12/09/2015 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548635055 | NPI | - | NPPES |
016130 | Other | MO | STATE LICENSE |
1100329 | Other | MO | STATE DRUG LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 016130 (Missouri) | Primary |
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Smile Up Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 W Mount Vernon St, Nixa, MO 65714 Phone: 417-494-5017 | |
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Capstone Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 729 W Center Cir, Suite 104, Nixa, MO 65714 Phone: 402-429-9744 |