| Dr. Susan P Eddleman | |
|
204 S Main St Rock Port MO 64482-1532 | |
| (660) 744-5391 | |
| (660) 744-5301 |
| Full Name | Dr. Susan P Eddleman |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 204 S Main St, Rock Port, Missouri |
| Authorized Official Name and Position | Susan Eddleman (DENTIST) |
| Authorized Official Contact | 6607445391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Susan P Eddleman 204 S Main St Po Box 282 Rock Port MO 64482-1532 Ph: (660) 744-5391 | Dr. Susan P Eddleman 204 S Main St Rock Port MO 64482-1532 Ph: (660) 744-5391 |
| NPI Number | 1518298231 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 01/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518298231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 14169 (Missouri) | Primary |