| Columbia Dentistry For Children | |
|
1000 W Nifong Blvd Ste 6-130 Columbia MO 65203-5607 | |
| (573) 874-1990 | |
| (573) 874-1923 |
| Full Name | Columbia Dentistry For Children |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1000 W Nifong Blvd Ste 6-130, Columbia, Missouri |
| Authorized Official Name and Position | Robert Coyle (OWNER) |
| Authorized Official Contact | 5738741990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Dentistry For Children 1000 W Nifong Blvd Ste 6-130 Columbia MO 65203-5607 Ph: (573) 874-1990 | Columbia Dentistry For Children 1000 W Nifong Blvd Ste 6-130 Columbia MO 65203-5607 Ph: (573) 874-1990 |
| NPI Number | 1700151768 |
|---|---|
| Provider Enumeration Date | 03/09/2012 |
| Last Update Date | 03/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700151768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | LC1018573 (Missouri) | Primary |
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