| Ridgeview Family Dental Oakgrove Pllc | |
|
2016 S Broadway Oak Grove MO 64075-8439 | |
| (816) 690-4141 | |
| Not Available |
| Full Name | Ridgeview Family Dental Oakgrove Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2016 S Broadway, Oak Grove, Missouri |
| Authorized Official Name and Position | Creed Cardon (OWNER) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgeview Family Dental Oakgrove Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Ridgeview Family Dental Oakgrove Pllc 2016 S Broadway Oak Grove MO 64075-8439 Ph: (816) 690-4141 |
| NPI Number | 1124899364 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124899364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Broadway Smiles Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2016 S Broadway # 8439, Oak Grove, MO 64075 Phone: 816-690-7757 |