| Thayer Dental Clinic | |
|
205 N 2nd St Thayer MO 65791-1263 | |
| (417) 264-7266 | |
| (417) 264-7273 |
| Full Name | Thayer Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 205 N 2nd St, Thayer, Missouri |
| Authorized Official Name and Position | Samir Prakash Patel (CEO) |
| Authorized Official Contact | 4172647266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thayer Dental Clinic 205 N 2nd St Thayer MO 65791-1263 Ph: (417) 264-7266 | Thayer Dental Clinic 205 N 2nd St Thayer MO 65791-1263 Ph: (417) 264-7266 |
| NPI Number | 1255684577 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255684577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2011010982 (Missouri) | Primary |
Oregon County Community Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9394 Us 63, Thayer, MO 65791 Phone: 417-264-2990 Fax: 417-264-2993 |