| The Dental Specialty Center, Llc | |
|
303 N Keene St Ste 210 Columbia MO 65201-7193 | |
| (573) 817-2277 | |
| (573) 817-2888 |
| Full Name | The Dental Specialty Center, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 303 N Keene St Ste 210, Columbia, Missouri |
| Authorized Official Name and Position | Cindy Sooter (OFFICE MANAGER) |
| Authorized Official Contact | 5738172222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Specialty Center, Llc 303 N Keene St Ste 210 Columbia MO 65201-7193 Ph: (573) 817-2277 | The Dental Specialty Center, Llc 303 N Keene St Ste 210 Columbia MO 65201-7193 Ph: (573) 817-2277 |
| NPI Number | 1598914525 |
|---|---|
| Provider Enumeration Date | 09/15/2008 |
| Last Update Date | 09/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598914525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12790 (Missouri) | Primary |
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