Dr Susan Taylor Lance, DDS | |
5207 Regal Way, Columbia, MO 65203-9050 | |
(252) 671-2667 | |
Not Available |
Full Name | Dr Susan Taylor Lance |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 5207 Regal Way, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134243256 | NPI | - | NPPES |
2015015768 | Other | MO | STATE LICENSE |
6581 | Other | NC | DENTAL LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2015015768 (Missouri) | Primary |
Entity Name | Family Health Center Of Boone County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689646143 PECOS PAC ID: 0345231478 Enrollment ID: O20040519000311 |
Mailing Address | Practice Location Address |
---|---|
Dr Susan Taylor Lance, DDS 5207 Regal Way, Columbia, MO 65203-9050 Ph: (252) 671-2667 | Dr Susan Taylor Lance, DDS 5207 Regal Way, Columbia, MO 65203-9050 Ph: (252) 671-2667 |
Nikesha Walters, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 Portland St, Columbia, MO 65201 Phone: 844-853-8937 | |
Dr. James W Andrews, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Nifong Blvd, Bldg 4 Ste 100, Columbia, MO 65203 Phone: 573-443-0466 Fax: 573-442-5417 | |
Dr. William Scott Robinson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1609 Chapel Hill Rd, Suite B, Columbia, MO 65203 Phone: 573-446-0700 Fax: 573-446-2652 | |
Jeanine Sasek, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1700 E Pointe Dr Ste 300, Columbia, MO 65201 Phone: 573-443-1525 Fax: 573-875-4834 | |
Tanisha Arya, DDS Dentist Medicare: Medicare Enrolled Practice Location: 303 N Keene St Ste 202, Columbia, MO 65201 Phone: 844-853-8937 | |
Dr. Bruce Edward Ringdahl, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 W Broadway, Columbia, MO 65203 Phone: 573-443-1618 | |
Dr. Jon G Rischer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Nifong Blvd, Bldg 8 Ste 120, Columbia, MO 65203 Phone: 573-874-8744 Fax: 573-499-4702 |