| Shelley Ann Lyle Dds Pc | |
|
3111 Keene Ct Columbia MO 65201-6639 | |
| (573) 442-1869 | |
| (573) 442-4165 |
| Full Name | Shelley Ann Lyle Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 3111 Keene Ct, Columbia, Missouri |
| Authorized Official Name and Position | Shelley Ann Lyle (CEO) |
| Authorized Official Contact | 5734421869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Ann Lyle Dds Pc 3111 Keene Ct Columbia MO 65201-6639 Ph: (573) 442-1869 | Shelley Ann Lyle Dds Pc 3111 Keene Ct Columbia MO 65201-6639 Ph: (573) 442-1869 |
| NPI Number | 1497921423 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497921423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 014131 (Missouri) | Primary |
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