| Deere Dentistry | |
|
205 E 4th St Portageville MO 63873-1464 | |
| (573) 379-5407 | |
| (573) 379-5407 |
| Full Name | Deere Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 205 E 4th St, Portageville, Missouri |
| Authorized Official Name and Position | Sheilah K Deere (OWNER/OFFICE MANAGER) |
| Authorized Official Contact | 5733795407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deere Dentistry 205 E 4th St Portageville MO 63873-1464 Ph: (573) 379-5407 | Deere Dentistry 205 E 4th St Portageville MO 63873-1464 Ph: (573) 379-5407 |
| NPI Number | 1912314378 |
|---|---|
| Provider Enumeration Date | 07/17/2014 |
| Last Update Date | 07/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912314378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |