| Smilecare Dental Center | |
|
1740 South Glenstone Avenue Suite A Springfield MO 65804 | |
| (417) 887-8868 | |
| Not Available |
| Full Name | Smilecare Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1740 South Glenstone Avenue, Springfield, Missouri |
| Authorized Official Name and Position | Daryl Horton (PRESIDENT) |
| Authorized Official Contact | 4178878868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilecare Dental Center 1740 South Glenstone Avenue Suite A Springfield MO 65804 Ph: (417) 887-8868 | Smilecare Dental Center 1740 South Glenstone Avenue Suite A Springfield MO 65804 Ph: (417) 887-8868 |
| NPI Number | 1598890808 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598890808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 012658 (Missouri) | Primary |
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