| Midwestperiodontics | |
|
1006 W Saint Maartens Dr Suite A Saint Joseph MO 64506-2966 | |
| (816) 364-3325 | |
| Not Available |
| Full Name | Midwestperiodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1006 W Saint Maartens Dr, Saint Joseph, Missouri |
| Authorized Official Name and Position | Steve Southard (PRESIDENT) |
| Authorized Official Contact | 8163902500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwestperiodontics 1006 W Saint Maartens Dr Suite A Saint Joseph MO 64506-2966 Ph: (816) 364-3325 | Midwestperiodontics 1006 W Saint Maartens Dr Suite A Saint Joseph MO 64506-2966 Ph: (816) 364-3325 |
| NPI Number | 1194191213 |
|---|---|
| Provider Enumeration Date | 08/12/2015 |
| Last Update Date | 08/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194191213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 14401 (Missouri) | Primary |
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