| Hcc Contract Physician Group | |
|
1411a N Jefferson St Carrollton MO 64633-1945 | |
| (660) 259-0224 | |
| Not Available |
| Full Name | Hcc Contract Physician Group |
|---|---|
| Speciality | Dentist |
| Location | 1411a N Jefferson St, Carrollton, Missouri |
| Authorized Official Name and Position | Toniann Richard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6602562440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hcc Contract Physician Group 825 S Business Highway 13 Lexington MO 64067-1515 Ph: (660) 259-2400 | Hcc Contract Physician Group 1411a N Jefferson St Carrollton MO 64633-1945 Ph: (660) 259-0224 |
| NPI Number | 1154784460 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 04/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154784460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
James L Samples Dds ,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411a N Jefferson St, Carrollton, MO 64633 Phone: 660-542-1653 | |
Carrollton Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411a N Jefferson St, Carrollton, MO 64633 Phone: 660-542-1653 Fax: 660-542-1654 |