| Woodrail Dental Centre | |
|
1000 W Nifong Blvd Bldg 8 Ste 120 Columbia MO 65203-5661 | |
| (573) 874-8744 | |
| Not Available |
| Full Name | Woodrail Dental Centre |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1000 W Nifong Blvd Bldg 8, Columbia, Missouri |
| Authorized Official Name and Position | Jon G Rischer (PRES) |
| Authorized Official Contact | 5738748744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodrail Dental Centre 1000 W Nifong Blvd Bldg 8 Ste 120 Columbia MO 65203-5661 Ph: (573) 874-8744 | Woodrail Dental Centre 1000 W Nifong Blvd Bldg 8 Ste 120 Columbia MO 65203-5661 Ph: (573) 874-8744 |
| NPI Number | 1053404186 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053404186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14820 (Missouri) | Primary |
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