Tooth Town Llc | |
4000 S Range Line Rd Joplin MO 64804-5329 | |
(646) 740-9607 | |
Not Available |
Full Name | Tooth Town Llc |
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Speciality | Clinic/center - Dental |
Location | 4000 S Range Line Rd, Joplin, Missouri |
Authorized Official Name and Position | Onaedo Achebe (MEMBER) |
Authorized Official Contact | 6467409607 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tooth Town Llc 1803 Wyandotte St Apt 205 Kansas City MO 64108-2553 Ph: (646) 740-9607 | Tooth Town Llc 4000 S Range Line Rd Joplin MO 64804-5329 Ph: (646) 740-9607 |
NPI Number | 1386458636 |
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Provider Enumeration Date | 02/06/2025 |
Last Update Date | 02/06/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386458636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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