| First Street Smiles | |
|
103 N First St Marble Hill MO 63764 | |
| (573) 238-3330 | |
| (573) 238-3464 |
| Full Name | First Street Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 103 N First St, Marble Hill, Missouri |
| Authorized Official Name and Position | Courtney L Beussink (DENTIST/OWNER) |
| Authorized Official Contact | 5732383330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Street Smiles Po Box 650 Marble Hill MO 63764-0650 Ph: (573) 238-3330 | First Street Smiles 103 N First St Marble Hill MO 63764 Ph: (573) 238-3330 |
| NPI Number | 1497172290 |
|---|---|
| Provider Enumeration Date | 03/19/2014 |
| Last Update Date | 03/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497172290 | NPI | - | NPPES |
| 1023338860 | Other | MO | NPI |
| 1861580532 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2010016160 (Missouri) | Primary |
Cross Trails Medical Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Hwy 51 North, Marble Hill, MO 63764 Phone: 573-238-2725 Fax: 573-238-3795 | |
L Mark Milde Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 First St, Marble Hill, MO 63764 Phone: 573-238-3330 Fax: 573-238-3464 |