Mark Roy Bagby, DDS | |
2935 Bagnell Dam Blvd Ste 112, Lake Ozark, MO 65049-8661 | |
(578) 349-9578 | |
Not Available |
Full Name | Mark Roy Bagby |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 2935 Bagnell Dam Blvd Ste 112, Lake Ozark, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477755775 | NPI | - | NPPES |
403024805 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 15287 (Missouri) | Primary |
Entity Name | East Central Missouri Behavioral Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144293549 PECOS PAC ID: 5395659403 Enrollment ID: O20031113000501 |
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 |
Entity Name | Aria Dental Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942977632 PECOS PAC ID: 6406211895 Enrollment ID: O20230613003407 |
Mailing Address | Practice Location Address |
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Mark Roy Bagby, DDS Po Box 2546, Lake Ozark, MO 65049-2546 Ph: (573) 578-3499 | Mark Roy Bagby, DDS 2935 Bagnell Dam Blvd Ste 112, Lake Ozark, MO 65049-8661 Ph: (578) 349-9578 |
Dr. Robert Earl Carroll, GENERAL DENTIST Dentist Medicare: Not Enrolled in Medicare Practice Location: 2935 Bagnell Dam Blvd Ste 102, Lake Ozark, MO 65049 Phone: 573-365-6600 Fax: 573-365-6470 | |
Ronald Eric Massie, DDS, FAGD Dentist Medicare: Medicare Enrolled Practice Location: 24 North Shore Dr, Lake Ozark, MO 65026 Phone: 573-365-0220 Fax: 573-365-1962 |