Giovanni A Safdari, MD, DDS | |
1724 Nebraska Ave, Usa Dentac, Ft Leonard Wood, MO 65473 | |
(573) 596-0388 | |
(573) 596-0410 |
Full Name | Giovanni A Safdari |
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Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1724 Nebraska Ave, Ft Leonard Wood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053574517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2008019427 (Missouri) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2008019427 (Missouri) | Primary |
Entity Name | Advocates For A Healthy Community Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558303057 PECOS PAC ID: 5395653562 Enrollment ID: O20041109000631 |
Mailing Address | Practice Location Address |
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Giovanni A Safdari, MD, DDS 1724 Nebraska Ave, Usa Dentac, Ft Leonard Wood, MO 65473 Ph: (573) 596-0388 | Giovanni A Safdari, MD, DDS 1724 Nebraska Ave, Usa Dentac, Ft Leonard Wood, MO 65473 Ph: (573) 596-0388 |
Dr. Scott William Brown, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Dept Of The Army, Dental Activity, 1724 Nebraska Ave, Bldg 1608, Ft Leonard Wood, MO 65473 Phone: 573-596-0388 Fax: 573-596-0410 | |
John Adams, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1724 Nebraska Ave, Us Army Dentac, Ft Leonard Wood, MO 65473 Phone: 573-596-0364 |