| Meramec Dental Center | |
|
675 Dunsford Dr Sullivan MO 63080-1267 | |
| (573) 468-2774 | |
| (573) 468-2008 |
| Full Name | Meramec Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 675 Dunsford Dr, Sullivan, Missouri |
| Authorized Official Name and Position | Mark Alan Scantlan (PRESIDENT) |
| Authorized Official Contact | 5734682772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meramec Dental Center 675 Dunsford Dr Sullivan MO 63080-1267 Ph: (573) 468-2774 | Meramec Dental Center 675 Dunsford Dr Sullivan MO 63080-1267 Ph: (573) 468-2774 |
| NPI Number | 1619007127 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 04/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619007127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | MO14700 (Missouri) | Primary |
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Sullivan Dental Partnership, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Walmart Dr, Sullivan, MO 63080 Phone: 573-860-2552 Fax: 573-860-4553 | |
Christopher A. Parks, Dds, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Cumberland Way, Suite A, Sullivan, MO 63080 Phone: 573-468-7556 | |
Midwest Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Walmart Dr, Sullivan, MO 63080 Phone: 573-860-2552 Fax: 573-860-2553 |