| Nevada Family Dentistry Llc | |
|
402 E Walnut St Nevada MO 64772-2458 | |
| (417) 667-3006 | |
| (417) 667-4579 |
| Full Name | Nevada Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 402 E Walnut St, Nevada, Missouri |
| Authorized Official Name and Position | Robert Stephen Long (MEMBER) |
| Authorized Official Contact | 4176673006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Family Dentistry Llc 402 E Walnut St Nevada MO 64772-2458 Ph: (417) 667-3006 | Nevada Family Dentistry Llc 402 E Walnut St Nevada MO 64772-2458 Ph: (417) 667-3006 |
| NPI Number | 1144469370 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 02/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144469370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 011960 (Missouri) | Primary |
Advanced Dentistry Of Nevada Missouri Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 W Austin Blvd, Nevada, MO 64772 Phone: 417-667-7134 | |
Ronald D Schowengerdt Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 W Austin Blvd, Nevada, MO 64772 Phone: 417-667-7134 Fax: 417-667-4127 | |
Advanced Dentistry Of Nevada Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 W Austin Blvd, Nevada, MO 64772 Phone: 417-667-7134 |