| Spot 2, Llc | |
|
1324 E Montclair St Springfield MO 65804-4245 | |
| (417) 886-9939 | |
| Not Available |
| Full Name | Spot 2, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1324 E Montclair St, Springfield, Missouri |
| Authorized Official Name and Position | Shayna Bahr (MEMBER) |
| Authorized Official Contact | 3035244501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spot 2, Llc 1712 Pioneer Ave Ste 5651a Cheyenne WY 82001-4406 Ph: () - | Spot 2, Llc 1324 E Montclair St Springfield MO 65804-4245 Ph: (417) 886-9939 |
| NPI Number | 1285093328 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 02/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285093328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2008019818 (Missouri) | Primary |
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