Leap Kids Dental | |
181 N Kentucky Ave Ste 300 West Plains MO 65775-2092 | |
(417) 256-5100 | |
Not Available |
Full Name | Leap Kids Dental |
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Speciality | Dentist |
Location | 181 N Kentucky Ave Ste 300, West Plains, Missouri |
Authorized Official Name and Position | Shaneque S Philmon (CREDENTIALING MANAGER) |
Authorized Official Contact | 5014622062 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Leap Kids Dental Po Box 3450 Little Rock AR 72203-3450 Ph: (501) 781-2777 | Leap Kids Dental 181 N Kentucky Ave Ste 300 West Plains MO 65775-2092 Ph: (417) 256-5100 |
NPI Number | 1972014504 |
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Provider Enumeration Date | 10/23/2017 |
Last Update Date | 07/30/2024 |
Identifier | Type | State | Issuer |
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1972014504 | NPI | - | NPPES |
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