| Accent Dental Center On Forum, Llc | |
|
1401 Forum Blvd Ste. 203 Columbia MO 65203-1915 | |
| (573) 446-7181 | |
| (573) 446-1770 |
| Full Name | Accent Dental Center On Forum, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1401 Forum Blvd, Columbia, Missouri |
| Authorized Official Name and Position | Heather R. Burton (OFFICE MANAGER) |
| Authorized Official Contact | 5734467181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Accent Dental Center On Forum, Llc 1401 Forum Blvd Ste. 203 Columbia MO 65203-1915 Ph: (573) 446-7181 | Accent Dental Center On Forum, Llc 1401 Forum Blvd Ste. 203 Columbia MO 65203-1915 Ph: (573) 446-7181 |
| NPI Number | 1730236894 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 09/16/2021 |
| Medicare PECOS PAC ID | 0143627117 |
|---|---|
| Medicare Enrollment ID | O20210920000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730236894 | NPI | - | NPPES |
| Provider Name | Walter R Pfitzinger |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770588972 PECOS PAC ID: 5597906222 Enrollment ID: I20150817002566 |
| Provider Name | Eric Lynn Burton |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578629606 PECOS PAC ID: 1052658010 Enrollment ID: I20210920000733 |
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