| Georgetown Dental Associates Llc | |
|
1601 Chapel Hill Rd Suite A Columbia MO 65203-5462 | |
| (573) 445-9526 | |
| (573) 445-7950 |
| Full Name | Georgetown Dental Associates Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1601 Chapel Hill Rd, Columbia, Missouri |
| Authorized Official Name and Position | Patrick Ryan (DENTIST) |
| Authorized Official Contact | 5734459526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Dental Associates Llc 1601 Chapel Hill Rd Suite A Columbia MO 65203-5462 Ph: (573) 445-9526 | Georgetown Dental Associates Llc 1601 Chapel Hill Rd Suite A Columbia MO 65203-5462 Ph: (573) 445-9526 |
| NPI Number | 1558745950 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 07/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558745950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2006014447 (Missouri) | Primary |
| 1223G0001X | Dentist - General Practice | 2002016155 (Missouri) | Secondary |
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