| Hummelgard DDS LLC | |
|
103 S 36th St Saint Joseph MO 64506-2920 | |
| (816) 364-1186 | |
| Not Available |
| Full Name | Hummelgard DDS LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 103 S 36th St, Saint Joseph, Missouri |
| Authorized Official Name and Position | Justin Hummelgard (DENTIST) |
| Authorized Official Contact | 9529138225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hummelgard DDS LLC 103 S 36th St Saint Joseph MO 64506-2920 Ph: (816) 364-1186 | Hummelgard DDS LLC 103 S 36th St Saint Joseph MO 64506-2920 Ph: (816) 364-1186 |
| NPI Number | 1356058507 |
|---|---|
| Provider Enumeration Date | 10/27/2022 |
| Last Update Date | 10/27/2022 |
| Certification Date | 10/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356058507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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