| Schaffer And Ditto Dds, Pc | |
|
2602 Cunningham Ave Joplin MO 64804-1542 | |
| (417) 623-2000 | |
| (417) 623-7948 |
| Full Name | Schaffer And Ditto Dds, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2602 Cunningham Ave, Joplin, Missouri |
| Authorized Official Name and Position | Shana Holman (INSURANCE COORDINATOR) |
| Authorized Official Contact | 4176232000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Schaffer And Ditto Dds, Pc 2602 Cunningham Ave Joplin MO 64804-1542 Ph: (417) 623-2000 | Schaffer And Ditto Dds, Pc 2602 Cunningham Ave Joplin MO 64804-1542 Ph: (417) 623-2000 |
| NPI Number | 1467693630 |
|---|---|
| Provider Enumeration Date | 03/17/2009 |
| Last Update Date | 03/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467693630 | NPI | - | NPPES |
| 000748177 | Other | MO | UNITED CONCORDIA PROVIDER # |
| 000020211 | Other | MO | MEDICARE PROVIDER # |
| 29065 | Other | MO | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 11810 (Missouri) | Primary |
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Gps Adc Of Joplin And Dr. John Durling Ii, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2827 Arizona Ave, Joplin, MO 64804 Phone: 417-208-3192 | |
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