| Advanced Dentistry Of Nevada Missouri | |
|
1701 W Austin Blvd Nevada MO 64772-3720 | |
| (417) 667-7134 | |
| Not Available |
| Full Name | Advanced Dentistry Of Nevada Missouri |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1701 W Austin Blvd, Nevada, Missouri |
| Authorized Official Name and Position | Caleb Johnsen (OWNER) |
| Authorized Official Contact | 8165411897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dentistry Of Nevada Missouri 1701 W Austin Blvd Nevada MO 64772-3720 Ph: (417) 667-7134 | Advanced Dentistry Of Nevada Missouri 1701 W Austin Blvd Nevada MO 64772-3720 Ph: (417) 667-7134 |
| NPI Number | 1649070442 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 03/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649070442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Nevada Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 E Walnut St, Nevada, MO 64772 Phone: 417-667-3006 Fax: 417-667-4579 | |
Ronald D Schowengerdt Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 W Austin Blvd, Nevada, MO 64772 Phone: 417-667-7134 Fax: 417-667-4127 | |
Advanced Dentistry Of Nevada Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 W Austin Blvd, Nevada, MO 64772 Phone: 417-667-7134 |