| Steven W Fawks Dds Pc | |
|
205 S Spartan Dr Richmond MO 64085 | |
| (816) 776-7134 | |
| (816) 470-5191 |
| Full Name | Steven W Fawks Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 205 S Spartan Dr, Richmond, Missouri |
| Authorized Official Name and Position | Steven Wesley Fawks (PRESIDENT) |
| Authorized Official Contact | 8167767134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven W Fawks Dds Pc Po Box 258 Richmond MO 64085 Ph: (816) 776-7134 | Steven W Fawks Dds Pc 205 S Spartan Dr Richmond MO 64085 Ph: (816) 776-7134 |
| NPI Number | 1215088968 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215088968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13101 (Missouri) | Primary |
Richmond Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S Spartan Dr, Richmond, MO 64085 Phone: 816-776-7134 |