| King Dental Clinic | |
|
102 E 9th St Eldon MO 65026-1605 | |
| (573) 392-3886 | |
| (573) 392-5867 |
| Full Name | King Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 102 E 9th St, Eldon, Missouri |
| Authorized Official Name and Position | Bruce E. King (DENTIST/OWNER/PRES.) |
| Authorized Official Contact | 5733923886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Dental Clinic 102 E 9th St. Eldon MO 65026 Ph: (573) 392-3886 | King Dental Clinic 102 E 9th St Eldon MO 65026-1605 Ph: (573) 392-3886 |
| NPI Number | 1639683634 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 11/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639683634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15170 (Missouri) | Primary |
King Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 E 9th St, Eldon, MO 65026 Phone: 573-392-3886 Fax: 573-392-5867 |
Eldon Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N Maple St, Eldon, MO 65026 Phone: 573-392-5213 |