| Social Welfare Board Dental Of Buchanan County | |
|
904 S 10th St Ste A Saint Joseph MO 64503-2400 | |
| (816) 233-5189 | |
| (816) 344-5247 |
| Full Name | Social Welfare Board Dental Of Buchanan County |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 904 S 10th St Ste A, Saint Joseph, Missouri |
| Authorized Official Name and Position | Linda Carmel Judah (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8163445201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Welfare Board Dental Of Buchanan County 904 S 10th St Ste A Saint Joseph MO 64503-2400 Ph: (816) 233-5189 | Social Welfare Board Dental Of Buchanan County 904 S 10th St Ste A Saint Joseph MO 64503-2400 Ph: (816) 233-5189 |
| NPI Number | 1699411595 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699411595 | NPI | - | NPPES |
| 1497024145 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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