| Access Dental & Dentures Llc | |
|
1402 S Elliott Ave Aurora MO 65605-2104 | |
| (417) 501-1082 | |
| (417) 501-1661 |
| Full Name | Access Dental & Dentures Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1402 S Elliott Ave, Aurora, Missouri |
| Authorized Official Name and Position | Kari Hicks (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Contact | 4175011082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Dental & Dentures Llc 1701 W Sunshine St Ste Q Springfield MO 65807-2261 Ph: (417) 501-1048 | Access Dental & Dentures Llc 1402 S Elliott Ave Aurora MO 65605-2104 Ph: (417) 501-1082 |
| NPI Number | 1679070841 |
|---|---|
| Provider Enumeration Date | 04/12/2018 |
| Last Update Date | 04/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679070841 | NPI | - | NPPES |
| 1275048324 | Other | MO | NPPES |
| 1376088369 | Other | MO | NPPES |
| 1114279460 | Other | MO | NPPES |
| 1427356989 | Medicaid | MO | |
| 182138649 | Medicaid | MO | |
| 1649589706 | Other | MO | NPPES |
| 1215241005 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Children's Smile Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 E Church St, Aurora, MO 65605 Phone: 417-582-5439 Fax: 417-485-5455 |