| Mydentist-springfield | |
|
2241 N Glenstone Ave Springfield MO 65803-4647 | |
| (417) 720-4479 | |
| Not Available |
| Full Name | Mydentist-springfield |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2241 N Glenstone Ave, Springfield, Missouri |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mydentist-springfield 2241 N Glenstone Ave Springfield MO 65803-4647 Ph: () - | Mydentist-springfield 2241 N Glenstone Ave Springfield MO 65803-4647 Ph: (417) 720-4479 |
| NPI Number | 1619397593 |
|---|---|
| Provider Enumeration Date | 04/18/2014 |
| Last Update Date | 04/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619397593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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