| Smile Clubhouse Ozark Llc | |
|
1427 W State Highway J Ozark MO 65721-7473 | |
| (417) 444-6776 | |
| Not Available |
| Full Name | Smile Clubhouse Ozark Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1427 W State Highway J, Ozark, Missouri |
| Authorized Official Name and Position | Stephen Dove (CO-OWNER) |
| Authorized Official Contact | 4178601416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Clubhouse Ozark Llc 2910 E Battlefield Rd Springfield MO 65804-4016 Ph: () - | Smile Clubhouse Ozark Llc 1427 W State Highway J Ozark MO 65721-7473 Ph: (417) 444-6776 |
| NPI Number | 1104657055 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104657055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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