| West Edgewood Dental, Vanderveen Dental | |
|
3306 Emerald Ln Jefferson City MO 65109-6877 | |
| (573) 634-2222 | |
| (573) 634-8812 |
| Full Name | West Edgewood Dental, Vanderveen Dental |
|---|---|
| Speciality | Dentist |
| Location | 3306 Emerald Ln, Jefferson City, Missouri |
| Authorized Official Name and Position | Nelson Henry (DDS) |
| Authorized Official Contact | 5736342222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Edgewood Dental, Vanderveen Dental 3306 Emerald Ln Jefferson City MO 65109-6877 Ph: (573) 634-2222 | West Edgewood Dental, Vanderveen Dental 3306 Emerald Ln Jefferson City MO 65109-6877 Ph: (573) 634-2222 |
| NPI Number | 1093937518 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093937518 | NPI | - | NPPES |
| 113009 | Medicaid | MO | |
| 113013 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 016072 (Missouri) | Primary |
Progressive Orthodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3306 Emerald Ln, Jefferson City, MO 65109 Phone: 573-206-8777 | |
Michael H. Jones Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E High St, Jefferson City, MO 65101 Phone: 573-636-7432 | |
Paul N Cardon Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 W Stadium Blvd Ste B, Jefferson City, MO 65109 Phone: 573-636-5522 Fax: 573-636-3328 | |
Harry J Richter, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-634-3413 Fax: 573-634-5818 | |
Brian L Henningsen Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Southwest Blvd # B, Jefferson City, MO 65109 Phone: 573-635-4852 | |
Jason A Dunville Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3237 W Truman Blvd Ste 201, Jefferson City, MO 65109 Phone: 573-635-2571 |