| Ads Bolivar Lp | |
|
4746 S 131st Rd Bolivar MO 65613-2886 | |
| (417) 501-1082 | |
| Not Available |
| Full Name | Ads Bolivar Lp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4746 S 131st Rd, Bolivar, Missouri |
| Authorized Official Name and Position | Kari Hicks (MANAGING DIRECTOR) |
| Authorized Official Contact | 4175011082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ads Bolivar Lp Po Box 2933 Springfield MO 65801-2933 Ph: (417) 501-1082 | Ads Bolivar Lp 4746 S 131st Rd Bolivar MO 65613-2886 Ph: (417) 501-1082 |
| NPI Number | 1144026014 |
|---|---|
| Provider Enumeration Date | 02/21/2025 |
| Last Update Date | 02/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144026014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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