| James River Dental Center | |
|
4205 S Glenstone Ave Springfield MO 65804-4921 | |
| (417) 882-1711 | |
| (417) 890-6227 |
| Full Name | James River Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4205 S Glenstone Ave, Springfield, Missouri |
| Authorized Official Name and Position | Lemmie Williams (ACCOUNT MANAGER) |
| Authorized Official Contact | 4178622468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James River Dental Center 4205 S Glenstone Ave Springfield MO 65804-4921 Ph: (417) 882-1711 | James River Dental Center 4205 S Glenstone Ave Springfield MO 65804-4921 Ph: (417) 882-1711 |
| NPI Number | 1184743304 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184743304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10691 (Missouri) | Primary |
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