Smile Up Dental Llc | |
708 W Mount Vernon St Nixa MO 65714-9682 | |
(417) 494-5017 | |
Not Available |
Full Name | Smile Up Dental Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 708 W Mount Vernon St, Nixa, Missouri |
Authorized Official Name and Position | Anthony Lee (OWNER/DENTIST) |
Authorized Official Contact | 4174945017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smile Up Dental Llc 708 W Mount Vernon St Nixa MO 65714-9682 Ph: (417) 494-5017 | Smile Up Dental Llc 708 W Mount Vernon St Nixa MO 65714-9682 Ph: (417) 494-5017 |
NPI Number | 1356817340 |
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Provider Enumeration Date | 10/17/2018 |
Last Update Date | 10/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356817340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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