| Serenity Smiles Family Dentistry, Llc | |
|
2401 Bernadette Dr Ste 217 Columbia MO 65203-4672 | |
| (573) 445-1100 | |
| Not Available |
| Full Name | Serenity Smiles Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2401 Bernadette Dr, Columbia, Missouri |
| Authorized Official Name and Position | Dana Derdeuff (OWNER/DENTIST) |
| Authorized Official Contact | 5733564029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Smiles Family Dentistry, Llc 1700 Skylane Dr Columbia MO 65202-1709 Ph: (573) 445-1100 | Serenity Smiles Family Dentistry, Llc 2401 Bernadette Dr Ste 217 Columbia MO 65203-4672 Ph: (573) 445-1100 |
| NPI Number | 1891133583 |
|---|---|
| Provider Enumeration Date | 06/05/2013 |
| Last Update Date | 06/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891133583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2012015356 (Missouri) | Primary |
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