Reznicek Dental Group Llc | |
1400 State Route F Waynesville MO 65583-2831 | |
(573) 774-6101 | |
(573) 774-6812 |
Full Name | Reznicek Dental Group Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 1400 State Route F, Waynesville, Missouri |
Authorized Official Name and Position | Paul D. Reznicek (DENTIST) |
Authorized Official Contact | 5737746101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Reznicek Dental Group Llc 1400 State Route F Waynesville MO 65583-2831 Ph: (573) 774-6101 | Reznicek Dental Group Llc 1400 State Route F Waynesville MO 65583-2831 Ph: (573) 774-6101 |
NPI Number | 1063447860 |
---|---|
Provider Enumeration Date | 07/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063447860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 014865 (Missouri) | Primary |