| Centralia Dental Llc | |
|
110 W Sneed St Centralia MO 65240-1375 | |
| (573) 682-5616 | |
| Not Available |
| Full Name | Centralia Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 W Sneed St, Centralia, Missouri |
| Authorized Official Name and Position | Jared Garton Buescher (MANAGING MEMBER) |
| Authorized Official Contact | 5732911411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centralia Dental Llc 110 W Sneed St Centralia MO 65240-1375 Ph: (573) 682-5616 | Centralia Dental Llc 110 W Sneed St Centralia MO 65240-1375 Ph: (573) 682-5616 |
| NPI Number | 1538042197 |
|---|---|
| Provider Enumeration Date | 07/30/2025 |
| Last Update Date | 07/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538042197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Smile Dental Centralia Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Sneed St, Centralia, MO 65240 Phone: 573-682-5616 |