| Dr. Kenneth Colbert Dds Inc | |
|
Po Box Aq 204 W Main St Steelville MO 65565-0609 | |
| (573) 775-2636 | |
| Not Available |
| Full Name | Dr. Kenneth Colbert Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | Po Box Aq, Steelville, Missouri |
| Authorized Official Name and Position | Kenneth Colbert (PRESIDENT) |
| Authorized Official Contact | 5737752636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kenneth Colbert Dds Inc Po Box Aq 204 W. Main St Steelville MO 65565-0609 Ph: (573) 775-2636 | Dr. Kenneth Colbert Dds Inc Po Box Aq 204 W Main St Steelville MO 65565-0609 Ph: (573) 775-2636 |
| NPI Number | 1174057178 |
|---|---|
| Provider Enumeration Date | 04/17/2017 |
| Last Update Date | 04/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174057178 | NPI | - | NPPES |
| 4012188050 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 013305 (Missouri) | Primary |