| Bpd South Llc | |
|
3776 N Meadowgate Ct Springfield MO 65803-7990 | |
| (417) 833-8253 | |
| Not Available |
| Full Name | Bpd South Llc |
|---|---|
| Speciality | Dentist |
| Location | 3776 N Meadowgate Ct, Springfield, Missouri |
| Authorized Official Name and Position | Ben T Pyatt (DENTIST/OWNER) |
| Authorized Official Contact | 4177322823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bpd South Llc 258 Us Highway 60 E Republic MO 65738-1938 Ph: (417) 732-7090 | Bpd South Llc 3776 N Meadowgate Ct Springfield MO 65803-7990 Ph: (417) 833-8253 |
| NPI Number | 1760866255 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 07/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760866255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2009013241 (Missouri) | Secondary |
| 122300000X | Dentist | 2009015903 (Missouri) | Primary |
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