| O W John & Assc | |
|
6620 Crain Hwy Ste 204 La Plata MO 20646 | |
| (301) 870-3966 | |
| (301) 753-1992 |
| Full Name | O W John & Assc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6620 Crain Hwy, La Plata, Missouri |
| Authorized Official Name and Position | Kim Leatrice Collier (OFFICE MANAGER) |
| Authorized Official Contact | 3018703966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| O W John & Assc Po Box 1002 6620 Crain Hwy Ste 204 La Plata MO 20646 Ph: (301) 870-3966 | O W John & Assc 6620 Crain Hwy Ste 204 La Plata MO 20646 Ph: (301) 870-3966 |
| NPI Number | 1235142837 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235142837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |