| Rolla Family Dentistry Inc | |
|
1701 E 10th St Rolla MO 65401-4601 | |
| (573) 364-1599 | |
| Not Available |
| Full Name | Rolla Family Dentistry Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1701 E 10th St, Rolla, Missouri |
| Authorized Official Name and Position | Jeremy Kiersz (OWNER/PRESIDENT) |
| Authorized Official Contact | 5733641599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rolla Family Dentistry Inc 1701 E 10th St Rolla MO 65401-4601 Ph: () - | Rolla Family Dentistry Inc 1701 E 10th St Rolla MO 65401-4601 Ph: (573) 364-1599 |
| NPI Number | 1154725745 |
|---|---|
| Provider Enumeration Date | 10/10/2014 |
| Last Update Date | 10/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154725745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 015882 (Missouri) | Primary |
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Access Dental Services Lp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1070 S Bishop Ave, Unit B, Rolla, MO 65401 Phone: 573-426-5447 Fax: 573-426-5659 | |
Phelps County Regional Medical Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Homelife Drive, Rolla, MO 65401 Phone: 573-308-5952 | |
Ads Rolla Lp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 S Bishop Ave, Rolla, MO 65401 Phone: 573-426-5447 Fax: 573-426-5659 | |
Tw Practice Partners Missouri Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 E 10th St, Rolla, MO 65401 Phone: 573-364-1599 |