| Premier Dental | |
|
1722 S Glenstone Ave Ste Gg Springfield MO 65804-1519 | |
| (417) 823-4900 | |
| (417) 823-8333 |
| Full Name | Premier Dental |
|---|---|
| Speciality | Dentist |
| Location | 1722 S Glenstone Ave, Springfield, Missouri |
| Authorized Official Name and Position | Scott M Olson (PRESIDENT) |
| Authorized Official Contact | 4178234900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental 1722 S Glenstone Ave Ste Gg Springfield MO 65804-1519 Ph: (417) 823-4900 | Premier Dental 1722 S Glenstone Ave Ste Gg Springfield MO 65804-1519 Ph: (417) 823-4900 |
| NPI Number | 1225193352 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225193352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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