| Premier Dental And Oral Health Group | |
|
24 N Shore Dr Lake Ozark MO 65049-7111 | |
| (573) 365-0220 | |
| (573) 365-1962 |
| Full Name | Premier Dental And Oral Health Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24 N Shore Dr, Lake Ozark, Missouri |
| Authorized Official Name and Position | Ronald Eric Massie (PRESIDENT) |
| Authorized Official Contact | 5733650220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental And Oral Health Group 24 N Shore Dr Lake Ozark MO 65049-7111 Ph: (573) 365-0220 | Premier Dental And Oral Health Group 24 N Shore Dr Lake Ozark MO 65049-7111 Ph: (573) 365-0220 |
| NPI Number | 1023090081 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023090081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 015226 (Missouri) | Primary |
Robert Carroll, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2935 Bagnell Dam Blvd, Ste. 102, Lake Ozark, MO 65049 Phone: 573-365-6600 Fax: 573-365-6470 |