| Ressel Family Dentistry Llc | |
|
1 E Broadway Ste A Columbia MO 65203-4205 | |
| (573) 449-5968 | |
| (573) 449-5149 |
| Full Name | Ressel Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 E Broadway Ste A, Columbia, Missouri |
| Authorized Official Name and Position | Grant Ressel (OWNER DENTIST) |
| Authorized Official Contact | 5734495149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ressel Family Dentistry Llc 1 E Broadway Ste A Columbia MO 65203-4205 Ph: (573) 449-5968 | Ressel Family Dentistry Llc 1 E Broadway Ste A Columbia MO 65203-4205 Ph: (573) 449-5968 |
| NPI Number | 1306444740 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306444740 | NPI | - | NPPES |
| 1942650544 | Other | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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