| Carrollton Dental Clinic | |
|
1411a N Jefferson St Carrollton MO 64633-1945 | |
| (660) 542-1653 | |
| (660) 542-1654 |
| Full Name | Carrollton Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 1411a N Jefferson St, Carrollton, Missouri |
| Authorized Official Name and Position | Vicki L Nolke (OFFICE MANAGER) |
| Authorized Official Contact | 6605421653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrollton Dental Clinic 1411a N Jefferson St Carrollton MO 64633-1945 Ph: (660) 542-1653 | Carrollton Dental Clinic 1411a N Jefferson St Carrollton MO 64633-1945 Ph: (660) 542-1653 |
| NPI Number | 1235197724 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235197724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
James L Samples Dds ,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411a N Jefferson St, Carrollton, MO 64633 Phone: 660-542-1653 | |
Hcc Contract Physician Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411a N Jefferson St, Carrollton, MO 64633 Phone: 660-259-0224 |