| Marshall Dental Care, Llc | |
|
263 S Jefferson Ave Marshall MO 65340-2134 | |
| (660) 886-6843 | |
| (660) 886-7855 |
| Full Name | Marshall Dental Care, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 263 S Jefferson Ave, Marshall, Missouri |
| Authorized Official Name and Position | Jerry C Kelly (MEMBER) |
| Authorized Official Contact | 6608866843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Dental Care, Llc 263 S Jefferson Ave Marshall MO 65340-2134 Ph: (660) 886-6843 | Marshall Dental Care, Llc 263 S Jefferson Ave Marshall MO 65340-2134 Ph: (660) 886-6843 |
| NPI Number | 1962918425 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 12/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962918425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12712 (Missouri) | Primary |
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