Dr Anthony Kyuhyun Lee, DDS | |
708 W Mount Vernon St, Nixa, MO 65714 | |
(417) 494-5017 | |
(417) 494-5019 |
Full Name | Dr Anthony Kyuhyun Lee |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 708 W Mount Vernon St, Nixa, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831207711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2004013592 (Missouri) | Primary |
Entity Name | Special Care Dental Of Missouri Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790127512 PECOS PAC ID: 4082995667 Enrollment ID: O20161220001976 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony Kyuhyun Lee, DDS 708 W Mount Vernon St, Nixa, MO 65714-9682 Ph: (417) 494-5017 | Dr Anthony Kyuhyun Lee, DDS 708 W Mount Vernon St, Nixa, MO 65714 Ph: (417) 494-5017 |
Dr. Scott Christian Larsen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 240 Village Center St, Nixa, MO 65714 Phone: 417-725-8283 Fax: 417-725-8284 | |
Michael K Butterfield, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 106 State St., Nixa, MO 65714 Phone: 417-725-3773 Fax: 417-725-2324 | |
Dr. Margaret Osilovskiy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 725 W Mount Vernon St, Nixa, MO 65714 Phone: 417-708-9098 | |
Dr. Kelly Dove Dove, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 725 W Mt. Vernon St., Nixa, MO 65714 Phone: 417-708-9098 Fax: 417-869-2469 | |
Dr. Ayden Henry, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 413 N Mccroskey St, Nixa, MO 65714 Phone: 417-725-3200 | |
Dr. Christopher A Davis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 723 W Mount Vernon St, Nixa, Nixa, MO 65714 Phone: 417-725-3665 Fax: 417-724-1967 | |
Dr. Jacob Paul Mclauchlin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 723 W Mount Vernon St, Nixa, MO 65714 Phone: 417-725-3665 Fax: 417-724-1967 |