| Douglas County Public Health Services Group, Inc. | |
|
504 West Broadway Ave. Ava MO 65608-6560 | |
| (417) 683-5739 | |
| Not Available |
| Full Name | Douglas County Public Health Services Group, Inc. |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 504 West Broadway Ave., Ava, Missouri |
| Authorized Official Name and Position | Jennifer Heinlein (COO) |
| Authorized Official Contact | 4176834831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas County Public Health Services Group, Inc. Po Box 1359 Ava MO 65608-1359 Ph: () - | Douglas County Public Health Services Group, Inc. 504 West Broadway Ave. Ava MO 65608-6560 Ph: (417) 683-5739 |
| NPI Number | 1942785399 |
|---|---|
| Provider Enumeration Date | 10/02/2018 |
| Last Update Date | 10/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942785399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
Scott Mason Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 W Washington, Box 1058, Ava, MO 65608 Phone: 417-683-3636 Fax: 417-683-6118 |