Springfield Kids Dental Pllc | |
1802 W Kearney St Springfield MO 65803-1647 | |
(918) 998-0996 | |
Not Available |
Full Name | Springfield Kids Dental Pllc |
---|---|
Speciality | Dentist |
Location | 1802 W Kearney St, Springfield, Missouri |
Authorized Official Name and Position | Creed Cardon (OWNER) |
Authorized Official Contact | 9189980996 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Springfield Kids Dental Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Springfield Kids Dental Pllc 1802 W Kearney St Springfield MO 65803-1647 Ph: (918) 998-0996 |
NPI Number | 1336805753 |
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Provider Enumeration Date | 11/10/2021 |
Last Update Date | 11/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336805753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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