| Warrenton Family Dentist Llc | |
|
505 Ingram Ln Warrenton MO 63383-4429 | |
| (636) 377-1233 | |
| (636) 377-4049 |
| Full Name | Warrenton Family Dentist Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 505 Ingram Ln, Warrenton, Missouri |
| Authorized Official Name and Position | Adam W Stotts (MANAGER) |
| Authorized Official Contact | 6368871994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warrenton Family Dentist Llc 505 Ingram Ln Warrenton MO 63383-4429 Ph: (636) 377-1233 | Warrenton Family Dentist Llc 505 Ingram Ln Warrenton MO 63383-4429 Ph: (636) 377-1233 |
| NPI Number | 1164149498 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164149498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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