| Ache Dental | |
|
508 W 76 Hwy Anderson MO 64831 | |
| (417) 845-2243 | |
| (417) 845-2533 |
| Full Name | Ache Dental |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 508 W 76 Hwy, Anderson, Missouri |
| Authorized Official Name and Position | Phyllis C Jay (GRANT MANAGER) |
| Authorized Official Contact | 4178452243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ache Dental Po Box 1136 Anderson MO 64831-1136 Ph: (417) 845-2243 | Ache Dental 508 W 76 Hwy Anderson MO 64831 Ph: (417) 845-2243 |
| NPI Number | 1386774412 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 06/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386774412 | NPI | - | NPPES |
| 749331708 | Medicaid | MO | |
| 748308707 | Medicaid | MO | |
| 407479906 | Medicaid | MO | |
| 401467311 | Medicaid | MO | |
| 401786215 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 110 (Missouri) | Primary |
Goldstein Dental Office, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 High St, Anderson, MO 64831 Phone: 417-845-6384 Fax: 417-845-8038 |