| Truman Lake Dental, Llc | |
|
1631 Commercial St Warsaw MO 65355-3060 | |
| (660) 438-5139 | |
| (660) 438-8649 |
| Full Name | Truman Lake Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1631 Commercial St, Warsaw, Missouri |
| Authorized Official Name and Position | Patrick Lancaster (DDS/OWNER) |
| Authorized Official Contact | 6604385139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Truman Lake Dental, Llc 1631 Commercial St Warsaw MO 65355-3060 Ph: (660) 438-5139 | Truman Lake Dental, Llc 1631 Commercial St Warsaw MO 65355-3060 Ph: (660) 438-5139 |
| NPI Number | 1902227036 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 12/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902227036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2012018560 (Missouri) | Primary |
Brenda Herrman, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Commercial St, Warsaw, MO 65355 Phone: 660-438-7355 Fax: 660-438-7356 | |
James E. Spring Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Commercial Street, Suite 1256, Warsaw, MO 65355 Phone: 660-438-7355 Fax: 660-438-9299 |