| Pediatric Dentistry of Branson | |
|
168 S Payne Stewart Dr Ste 100 Branson MO 65616-2718 | |
| (417) 263-3127 | |
| Not Available |
| Full Name | Pediatric Dentistry of Branson |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 168 S Payne Stewart Dr Ste 100, Branson, Missouri |
| Authorized Official Name and Position | Adam Michael Bennett (OWNER/DOCTOR) |
| Authorized Official Contact | 8705777286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry of Branson 278 Dandy Way Branson MO 65616-8666 Ph: (870) 577-7286 | Pediatric Dentistry of Branson 168 S Payne Stewart Dr Ste 100 Branson MO 65616-2718 Ph: (417) 263-3127 |
| NPI Number | 1962167809 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 11/06/2021 |
| Certification Date | 11/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962167809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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