| Healthy Smiles Dental Center | |
|
1710 W Broadway St West Plains MO 65775-2246 | |
| (417) 256-4171 | |
| Not Available |
| Full Name | Healthy Smiles Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1710 W Broadway St, West Plains, Missouri |
| Authorized Official Name and Position | Nathan Pulsipher (OWNER) |
| Authorized Official Contact | 4179551418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smiles Dental Center Po Box 645 Stockton MO 65785-0645 | Healthy Smiles Dental Center 1710 W Broadway St West Plains MO 65775-2246 Ph: (417) 256-4171 |
| NPI Number | 1982389144 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982389144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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