| West Edgewood Dental Small Smiles, Llc | |
|
3306 Emerald Ln Jefferson City MO 65109-6877 | |
| (573) 638-3897 | |
| (573) 761-0515 |
| Full Name | West Edgewood Dental Small Smiles, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3306 Emerald Ln, Jefferson City, Missouri |
| Authorized Official Name and Position | Randy Burrow (OPERATIONS MANAGER) |
| Authorized Official Contact | 5736383897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Edgewood Dental Small Smiles, Llc 3306 Emerald Ln Jefferson City MO 65109-6877 Ph: (573) 638-3897 | West Edgewood Dental Small Smiles, Llc 3306 Emerald Ln Jefferson City MO 65109-6877 Ph: (573) 638-3897 |
| NPI Number | 1982827465 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982827465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12095 (Missouri) | Primary |
Progressive Orthodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3306 Emerald Ln, Jefferson City, MO 65109 Phone: 573-206-8777 | |
Michael H. Jones Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E High St, Jefferson City, MO 65101 Phone: 573-636-7432 | |
West Edgewood Dental, Vanderveen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3306 Emerald Ln, Jefferson City, MO 65109 Phone: 573-634-2222 Fax: 573-634-8812 | |
Paul N Cardon Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 W Stadium Blvd Ste B, Jefferson City, MO 65109 Phone: 573-636-5522 Fax: 573-636-3328 | |
Harry J Richter, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-634-3413 Fax: 573-634-5818 | |
Brian L Henningsen Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Southwest Blvd # B, Jefferson City, MO 65109 Phone: 573-635-4852 | |
Jason A Dunville Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3237 W Truman Blvd Ste 201, Jefferson City, MO 65109 Phone: 573-635-2571 |