| Dentistry & Denture Services | |
|
417 Northland Dr Cameron MO 64429-1344 | |
| (816) 632-6700 | |
| (816) 632-6702 |
| Full Name | Dentistry & Denture Services |
|---|---|
| Speciality | Dentist |
| Location | 417 Northland Dr, Cameron, Missouri |
| Authorized Official Name and Position | Robert Paul Mcgraw (LLC OWNER/MANAGER) |
| Authorized Official Contact | 8162258200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry & Denture Services 4731 Cochise Suite 210 Independence MO 64055-6975 Ph: (816) 632-6700 | Dentistry & Denture Services 417 Northland Dr Cameron MO 64429-1344 Ph: (816) 632-6700 |
| NPI Number | 1124126131 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124126131 | NPI | - | NPPES |
| 31565026 | Other | MO | BCBS OF MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2000695 (Missouri) | Primary |
| 1223G0001X | Dentist - General Practice | (Missouri) | Secondary |
Douglas A Wyckoff Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 N Walnut, Cameron, MO 64429 Phone: 816-632-2822 Fax: 816-632-5245 |