Sparta Family Dental | |
515 Hugh Ave Sparta MO 65753-1220 | |
(417) 441-0420 | |
Not Available |
Full Name | Sparta Family Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 515 Hugh Ave, Sparta, Missouri |
Authorized Official Name and Position | Chandler Robertson (DENTIST/OWNER) |
Authorized Official Contact | 4178440706 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sparta Family Dental 515 Hugh Ave Sparta MO 65753-1220 Ph: (417) 441-0420 | Sparta Family Dental 515 Hugh Ave Sparta MO 65753-1220 Ph: (417) 441-0420 |
NPI Number | 1407602436 |
---|---|
Provider Enumeration Date | 04/29/2024 |
Last Update Date | 04/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407602436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |