| Innovative Orthodontics | |
|
2103 Broadway Cape Girardeau MO 63701 | |
| (573) 332-7223 | |
| (573) 334-7379 |
| Full Name | Innovative Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2103 Broadway, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Terry M Spence (OWNER/PROVIDER) |
| Authorized Official Contact | 5734501141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Orthodontics 2103 Broadway Cape Girardeau MO 63701 Ph: (573) 332-7223 | Innovative Orthodontics 2103 Broadway Cape Girardeau MO 63701 Ph: (573) 332-7223 |
| NPI Number | 1114631439 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114631439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
Bennett Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Cape Rock Dr, Cape Girardeau, MO 63701 Phone: 573-334-8013 Fax: 573-334-4101 |
The Center for Oral and Maxillofacial Surgery LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 53 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-335-0300 |
Fox Family Dental, L.L.C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 832 N. Kingshighway Street, Cape Girardeau, MO 63701 Phone: 573-334-8431 Fax: 573-334-7631 |
Southeast Missouri Oral & Maxillofacial Surgery Dental Clinic Medicare: Medicare Enrolled Practice Location: 66 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-5566 Fax: 573-334-9004 |
Fox Family Dental LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 832 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-334-8431 Fax: 573-334-7631 |
Ruopp and Ruopp DDS PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 Broadway St, Cape Girardeau, MO 63701 Phone: 573-334-8884 Fax: 573-334-7656 |