| Core Family Dentistry Llc | |
|
1217 E Main St Linn MO 65051-9634 | |
| (573) 897-2388 | |
| Not Available |
| Full Name | Core Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1217 E Main St, Linn, Missouri |
| Authorized Official Name and Position | Corey Mack (OWNER) |
| Authorized Official Contact | 6202400565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Family Dentistry Llc 1217 E Main St Linn MO 65051-9634 Ph: (573) 897-2388 | Core Family Dentistry Llc 1217 E Main St Linn MO 65051-9634 Ph: (573) 897-2388 |
| NPI Number | 1245765759 |
|---|---|
| Provider Enumeration Date | 04/23/2017 |
| Last Update Date | 04/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245765759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2006016427 (Missouri) | Primary |