| Fredericktown Family Dental | |
|
731 W Main St Fredericktown MO 63645-1113 | |
| (573) 783-4100 | |
| Not Available |
| Full Name | Fredericktown Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 731 W Main St, Fredericktown, Missouri |
| Authorized Official Name and Position | John Adams (OWNER) |
| Authorized Official Contact | 5737834100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredericktown Family Dental 731 W Main St Fredericktown MO 63645-1113 Ph: (573) 783-4100 | Fredericktown Family Dental 731 W Main St Fredericktown MO 63645-1113 Ph: (573) 783-4100 |
| NPI Number | 1043689557 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043689557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |