| Tooth Truck | |
|
949 E. Primrose Springfield MO 65807 | |
| (417) 875-3504 | |
| Not Available |
| Full Name | Tooth Truck |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 949 E. Primrose, Springfield, Missouri |
| Authorized Official Name and Position | Bonnie Keller (PRESIDENT CEO) |
| Authorized Official Contact | 4178753503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Truck 949 E. Primrose Springfield MO 65807 Ph: (417) 875-3504 | Tooth Truck 949 E. Primrose Springfield MO 65807 Ph: (417) 875-3504 |
| NPI Number | 1083836381 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083836381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (Missouri) | Primary |
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