| Neosho Kids Dental, Llc | |
|
3201 Lusk Dr Ste 111k Neosho MO 64850-2019 | |
| (918) 998-0996 | |
| Not Available |
| Full Name | Neosho Kids Dental, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3201 Lusk Dr Ste 111k, Neosho, Missouri |
| Authorized Official Name and Position | Creed Cardon (OWNER/DENTIST) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neosho Kids Dental, Llc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Neosho Kids Dental, Llc 3201 Lusk Dr Ste 111k Neosho MO 64850-2019 Ph: (918) 998-0996 |
| NPI Number | 1851101422 |
|---|---|
| Provider Enumeration Date | 01/07/2025 |
| Last Update Date | 01/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851101422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Hillside Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 W Hill St, Neosho, MO 64850 Phone: 417-451-6604 | |
Darrell W Hedrick Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Laquesta Drive, Neosho, MO 64850 Phone: 417-451-3545 | |
William D Burch Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 W Hill St, Neosho, MO 64850 Phone: 417-451-6600 Fax: 417-451-6060 |