| Broadway Smiles Dental, Llc | |
|
2016 S Broadway # 8439 Oak Grove MO 64075-8439 | |
| (816) 690-7757 | |
| Not Available |
| Full Name | Broadway Smiles Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2016 S Broadway # 8439, Oak Grove, Missouri |
| Authorized Official Name and Position | Staci Nicole Osgood (GENERAL DENTIST) |
| Authorized Official Contact | 9135583919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Smiles Dental, Llc 6724 E 134th St Grandview MO 64030-3236 Ph: (913) 558-3919 | Broadway Smiles Dental, Llc 2016 S Broadway # 8439 Oak Grove MO 64075-8439 Ph: (816) 690-7757 |
| NPI Number | 1144801622 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 04/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144801622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Ridgeview Family Dental Oakgrove Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2016 S Broadway, Oak Grove, MO 64075 Phone: 816-690-4141 |