| Scottkoerner, D.d.s.,p.c. | |
|
605 Main St Boonville MO 65233-1571 | |
| (660) 882-7097 | |
| Not Available |
| Full Name | Scottkoerner, D.d.s.,p.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 605 Main St, Boonville, Missouri |
| Authorized Official Name and Position | David Scott Koerner (PRESIDENT) |
| Authorized Official Contact | 6608827097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scottkoerner, D.d.s.,p.c. 605 Main St Boonville MO 65233-1571 Ph: () - | Scottkoerner, D.d.s.,p.c. 605 Main St Boonville MO 65233-1571 Ph: (660) 882-7097 |
| NPI Number | 1821150392 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821150392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12714 (Missouri) | Primary |
Ricky D. Powell, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1945 Boone Villa Dr, B, Boonville, MO 65233 Phone: 660-882-6452 | |
Joseph T Kelly, Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1480 W Ashley Rd, Boonville, MO 65233 Phone: 660-882-7522 Fax: 660-882-9022 |