| Springfield Celebrate Pediatrics Llc | |
|
4214 S Farm Road 135 Springfield MO 65810-3716 | |
| (417) 289-0000 | |
| Not Available |
| Full Name | Springfield Celebrate Pediatrics Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4214 S Farm Road 135, Springfield, Missouri |
| Authorized Official Name and Position | Mike Melanson (OWNER) |
| Authorized Official Contact | 4172890000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Celebrate Pediatrics Llc 4214 S Farm Road 135 Springfield MO 65810-3716 Ph: (417) 289-0000 | Springfield Celebrate Pediatrics Llc 4214 S Farm Road 135 Springfield MO 65810-3716 Ph: (417) 289-0000 |
| NPI Number | 1184483216 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184483216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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