| Hough Orthodontics, Inc. | |
|
673 Big Bend Rd Manchester MO 63021-7723 | |
| (636) 391-1959 | |
| (636) 391-8243 |
| Full Name | Hough Orthodontics, Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 673 Big Bend Rd, Manchester, Missouri |
| Authorized Official Name and Position | Steven Wallace Hough (PRESIDENT) |
| Authorized Official Contact | 6363911959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hough Orthodontics, Inc. 673 Big Bend Rd Manchester MO 63021-7723 Ph: (636) 391-1959 | Hough Orthodontics, Inc. 673 Big Bend Rd Manchester MO 63021-7723 Ph: (636) 391-1959 |
| NPI Number | 1316450398 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 11/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316450398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 14304 (Missouri) | Primary |
Century Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Sovereign Ct, Ste 19, Manchester, MO 63011 Phone: 636-391-0499 Fax: 636-391-7340 | |
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