| Thomas K. Courtney, Dds, Ubo | |
|
302 Park Ave Stewartsville MO 64490-7122 | |
| (816) 669-3611 | |
| (816) 669-3253 |
| Full Name | Thomas K. Courtney, Dds, Ubo |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 302 Park Ave, Stewartsville, Missouri |
| Authorized Official Name and Position | Thomas K Courtney (DIRECTING MANAGER) |
| Authorized Official Contact | 8166693611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas K. Courtney, Dds, Ubo 302 Park Ave Stewartsville MO 64490-7122 Ph: (816) 669-3611 | Thomas K. Courtney, Dds, Ubo 302 Park Ave Stewartsville MO 64490-7122 Ph: (816) 669-3611 |
| NPI Number | 1740352707 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740352707 | NPI | - | NPPES |
| 05611021 | Other | MO | BCBSKC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11939 (Missouri) | Primary |
Christopher M Ostendorf Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Park Avenue, Stewartsville, MO 64490 Phone: 816-669-3611 Fax: 816-669-3253 |