| Miles for Smiles | |
|
1500 N. Oakland Ave Bolivar MO 65613-3099 | |
| (417) 328-6334 | |
| (417) 328-7727 |
| Full Name | Miles for Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1500 N. Oakland Ave, Bolivar, Missouri |
| Authorized Official Name and Position | Donald J. Babb (CEO) |
| Authorized Official Contact | 4173266501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miles for Smiles 1500 N. Oakland Ave Bolivar MO 65613-3099 Ph: (417) 326-6334 | Miles for Smiles 1500 N. Oakland Ave Bolivar MO 65613-3099 Ph: (417) 328-6334 |
| NPI Number | 1639384597 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 10/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639384597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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