Reavley Dental | |
804 Gulf Street Lamar MO 64759-6475 | |
(417) 682-3393 | |
(417) 682-6659 |
Full Name | Reavley Dental |
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Speciality | Clinic/center - Dental |
Location | 804 Gulf Street, Lamar, Missouri |
Authorized Official Name and Position | Carol D Reavley (OFFICE MANAGER) |
Authorized Official Contact | 4176823393 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Reavley Dental 804 Gulf Street Lamar MO 64759 Ph: (417) 682-3393 | Reavley Dental 804 Gulf Street Lamar MO 64759-6475 Ph: (417) 682-3393 |
NPI Number | 1447919840 |
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Provider Enumeration Date | 12/13/2021 |
Last Update Date | 12/21/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447919840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |