| Reznicek Dental Group Llc | |
|
1400 State Route F Waynesville MO 65583-2831 | |
| (573) 774-6101 | |
| (573) 774-6812 |
| Full Name | Reznicek Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1400 State Route F, Waynesville, Missouri |
| Authorized Official Name and Position | Paul D. Reznicek (DENTIST) |
| Authorized Official Contact | 5737746101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reznicek Dental Group Llc 1400 State Route F Waynesville MO 65583-2831 Ph: (573) 774-6101 | Reznicek Dental Group Llc 1400 State Route F Waynesville MO 65583-2831 Ph: (573) 774-6101 |
| NPI Number | 1063447860 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063447860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 014865 (Missouri) | Primary |