Steven W Fawks Dds Pc | |
205 S Spartan Dr Richmond MO 64085 | |
(816) 776-7134 | |
(816) 470-5191 |
Full Name | Steven W Fawks Dds Pc |
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Speciality | Dentist - General Practice |
Location | 205 S Spartan Dr, Richmond, Missouri |
Authorized Official Name and Position | Steven Wesley Fawks (PRESIDENT) |
Authorized Official Contact | 8167767134 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Steven W Fawks Dds Pc Po Box 258 Richmond MO 64085 Ph: (816) 776-7134 | Steven W Fawks Dds Pc 205 S Spartan Dr Richmond MO 64085 Ph: (816) 776-7134 |
NPI Number | 1215088968 |
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Provider Enumeration Date | 01/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215088968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 13101 (Missouri) | Primary |
Richmond Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S Spartan Dr, Richmond, MO 64085 Phone: 816-776-7134 |