| Ads Mt. Grove LP | |
|
921 N Main St Mountain Grove MO 65711-1316 | |
| (417) 926-1160 | |
| Not Available |
| Full Name | Ads Mt. Grove LP |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 921 N Main St, Mountain Grove, Missouri |
| Authorized Official Name and Position | Kari a Hicks (MANAGING DIRECTOR) |
| Authorized Official Contact | 4175011082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ads Mt. Grove LP Po Box 2933 Springfield MO 65801-2933 | Ads Mt. Grove LP 921 N Main St Mountain Grove MO 65711-1316 Ph: (417) 926-1160 |
| NPI Number | 1619742673 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619742673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | 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 |
Access Dental & Dentures Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 N Main St, Mountain Grove, MO 65711 Phone: 417-501-1048 Fax: 417-501-1661 |
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 |