St George Family Dental | |
603 Nichols St Fulton MO 65251-2650 | |
(573) 642-6904 | |
(573) 642-7256 |
Full Name | St George Family Dental |
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Speciality | Dentist - General Practice |
Location | 603 Nichols St, Fulton, Missouri |
Authorized Official Name and Position | Matthew St George (OWNER) |
Authorized Official Contact | 5736426904 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St George Family Dental 603 Nichols St Fulton MO 65251-2650 Ph: (573) 642-6904 | St George Family Dental 603 Nichols St Fulton MO 65251-2650 Ph: (573) 642-6904 |
NPI Number | 1336689660 |
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Provider Enumeration Date | 03/06/2017 |
Last Update Date | 03/06/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336689660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2008014167 (Missouri) | Primary |
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Joshua S. Prather Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 E 2nd St, Fulton, MO 65251 Phone: 573-289-0666 | |
James M. Mccall, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Nichols St, Fulton, MO 65251 Phone: 573-642-6904 Fax: 573-642-7256 | |
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