| Oms | |
|
1103 E Montclair St Suite 100 Springfield MO 65807-5076 | |
| (417) 887-8800 | |
| (417) 887-6265 |
| Full Name | Oms |
|---|---|
| Speciality | Dentist |
| Location | 1103 E Montclair St, Springfield, Missouri |
| Authorized Official Name and Position | Susan Rust (ADMINISTRATOR) |
| Authorized Official Contact | 4178878800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oms 1103 E Montclair St Suite 100 Springfield MO 65807-5076 Ph: (417) 887-8800 | Oms 1103 E Montclair St Suite 100 Springfield MO 65807-5076 Ph: (417) 887-8800 |
| NPI Number | 1801091657 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 01/18/2024 |
| Medicare PECOS PAC ID | 6103886981 |
|---|---|
| Medicare Enrollment ID | O20041015000432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801091657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Missouri) | Primary |
| Provider Name | James D Gipson |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1417942426 PECOS PAC ID: 7113972787 Enrollment ID: I20051129000040 |
| Provider Name | Thomas A Collins |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1831184423 PECOS PAC ID: 1759336324 Enrollment ID: I20051129000184 |
| Provider Name | Steven P Quinn |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1144215740 PECOS PAC ID: 2668427238 Enrollment ID: I20051129000329 |
| Provider Name | George E Arquitt |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1720073703 PECOS PAC ID: 9032139605 Enrollment ID: I20051129000368 |
| Provider Name | Christopher M Meyer |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1861437055 PECOS PAC ID: 6901997220 Enrollment ID: I20070801000089 |
| Provider Name | James Todd Shaner |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1952617698 PECOS PAC ID: 5890927537 Enrollment ID: I20210406001205 |
| Provider Name | Joshua L Leal |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1487829420 PECOS PAC ID: 3072908771 Enrollment ID: I20220316000716 |
Ads Springfield East Lp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2965 E Chestnut Expy, Springfield, MO 65802 Phone: 417-831-3311 Fax: 417-831-0552 | |
Tags Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1557 E Primrose St Ste 116, Springfield, MO 65804 Phone: 417-882-0987 | |
Ascend Dental Design, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 E Woodhurst Dr, Building U, Springfield, MO 65804 Phone: 417-887-3100 Fax: 417-887-3066 | |
Brett D Wyman Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1614 N Benton Ave, Springfield, MO 65803 Phone: 417-862-9925 Fax: 417-862-4541 | |
Tooth Truck Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 949 E. Primrose, Springfield, MO 65807 Phone: 417-875-3504 | |
Ozarks Preferred Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3259 E. Sunshine, Ste. Q, Springfield, MO 65804 Phone: 417-881-3220 Fax: 417-881-6473 | |
John D Heard Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1335 E Independence St, Springfield, MO 65804 Phone: 417-883-3333 |