| Reavley Dental | |
|
804 Gulf Street Lamar MO 64759-6475 | |
| (417) 682-3393 | |
| (417) 682-6659 |
| Full Name | Reavley Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 804 Gulf Street, Lamar, Missouri |
| Authorized Official Name and Position | Carol D Reavley (OFFICE MANAGER) |
| Authorized Official Contact | 4176823393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reavley Dental 804 Gulf Street Lamar MO 64759 Ph: (417) 682-3393 | Reavley Dental 804 Gulf Street Lamar MO 64759-6475 Ph: (417) 682-3393 |
| NPI Number | 1447919840 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 12/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447919840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |