| Odessa Pediatric Dental Care | |
|
406 N 4th St Ste A Odessa MO 64076-1680 | |
| (816) 000-0000 | |
| Not Available |
| Full Name | Odessa Pediatric Dental Care |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 406 N 4th St Ste A, Odessa, Missouri |
| Authorized Official Name and Position | Stacia Weddle (INSURANCE DEPARTMENT MANAGER) |
| Authorized Official Contact | 8162294560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odessa Pediatric Dental Care 406 N 4th St Ste A Odessa MO 64076-1680 Ph: () - | Odessa Pediatric Dental Care 406 N 4th St Ste A Odessa MO 64076-1680 Ph: (816) 000-0000 |
| NPI Number | 1356103808 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356103808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Embrace Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 N 4th St, Odessa, MO 64076 Phone: 816-490-7330 |