| Ads Springfield West LP | |
|
1701 W Sunshine St Ste Q Springfield MO 65807-2261 | |
| (417) 501-1048 | |
| (417) 501-1661 |
| Full Name | Ads Springfield West LP |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1701 W Sunshine St Ste Q, Springfield, 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 Springfield West LP Po Box 2933 Springfield MO 65801-2933 Ph: (417) 501-1048 | Ads Springfield West LP 1701 W Sunshine St Ste Q Springfield MO 65807-2261 Ph: (417) 501-1048 |
| NPI Number | 1578338521 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578338521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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