Dr Jack Fredrick Backs, DMD | |
154 State Route 100 W, Hermann, MO 65041-1526 | |
(573) 486-3500 | |
(573) 486-3166 |
Full Name | Dr Jack Fredrick Backs |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 154 State Route 100 W, Hermann, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104046556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DE 015082 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jack Fredrick Backs, DMD 154 State Route 100 W, Hermann, MO 65041-1526 Ph: (573) 486-3500 | Dr Jack Fredrick Backs, DMD 154 State Route 100 W, Hermann, MO 65041-1526 Ph: (573) 486-3500 |
Dr. Kenneth R Wehrenberg, DMD MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1074 Stone Hill Hwy, Hermann, MO 65041 Phone: 573-486-2101 Fax: 618-282-6813 | |
Dr. Jay Richard Pontious, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 214 Schiller St, Hermann Dental, Llc, Hermann, MO 65041 Phone: 573-486-5431 Fax: 573-486-4577 |