| Access Dental & Dentures | |
|
921 N Main St Mountain Grove MO 65711-1316 | |
| (417) 501-1048 | |
| (417) 501-1661 |
| Full Name | Access Dental & Dentures |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 921 N Main St, Mountain Grove, Missouri |
| Authorized Official Name and Position | Kari Hicks (SR ADMINISTRATOR) |
| Authorized Official Contact | 4175011048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Dental & Dentures Po Box 2933 Springfield MO 65801-2933 Ph: (417) 501-1048 | Access Dental & Dentures 921 N Main St Mountain Grove MO 65711-1316 Ph: (417) 501-1048 |
| NPI Number | 1376088369 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 05/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376088369 | NPI | - | NPPES |
| 500041194 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2006012741 (Missouri) | Primary |
Katie D. Peterson, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 N Main St, Mountain Grove, MO 65711 Phone: 417-926-4910 Fax: 417-926-4399 | |
Thomas Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Main St, Mountain Grove, MO 65711 Phone: 417-299-6130 | |
Samuel E Deatherage Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 North Main, Mountain Grove, MO 65711 Phone: 417-926-4910 Fax: 417-926-4399 | |
Ads Mt. Grove Lp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 N Main St, Mountain Grove, MO 65711 Phone: 417-926-1160 |