| Nail Dental Llc | |
|
1200 E Woodhurst Dr Ste M400 Springfield MO 65804-3777 | |
| (417) 881-1212 | |
| (417) 881-7867 |
| Full Name | Nail Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1200 E Woodhurst Dr Ste M400, Springfield, Missouri |
| Authorized Official Name and Position | James Gary Nail (SOLE MEMBER/OWNER) |
| Authorized Official Contact | 4178811212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nail Dental Llc 1200 E Woodhurst Dr Ste M400 Springfield MO 65804-3777 Ph: (417) 881-1212 | Nail Dental Llc 1200 E Woodhurst Dr Ste M400 Springfield MO 65804-3777 Ph: (417) 881-1212 |
| NPI Number | 1306182704 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 12/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306182704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 012092 (Missouri) | Secondary |
| 122300000X | Dentist | 2007014543 (Missouri) | Primary |
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