| Two Rivers Dental, LLC | |
|
703 N Mccroskey St Ste 3 Nixa MO 65714-9016 | |
| (541) 374-5057 | |
| (541) 374-5056 |
| Full Name | Two Rivers Dental, LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 703 N Mccroskey St Ste 3, Nixa, Missouri |
| Authorized Official Name and Position | Justin David Anderson (MANAGING MEMBER) |
| Authorized Official Contact | 5414500336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Dental, LLC 2405 Westwind Dr Ozark MO 65721-5942 Ph: (541) 450-0336 | Two Rivers Dental, LLC 703 N Mccroskey St Ste 3 Nixa MO 65714-9016 Ph: (541) 374-5057 |
| NPI Number | 1417827825 |
|---|---|
| Provider Enumeration Date | 11/10/2025 |
| Last Update Date | 11/10/2025 |
| Certification Date | 11/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417827825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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