Ms Angela Spoljaric, DDS | |
408 S Broadview St, Cape Girardeau, MO 63703-5725 | |
(573) 334-4753 | |
(573) 339-7945 |
Full Name | Ms Angela Spoljaric |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 408 S Broadview St, Cape Girardeau, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235114489 | NPI | - | NPPES |
409143302 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 016021 (Missouri) | Primary |
Entity Name | Family Care Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508867508 PECOS PAC ID: 7911815097 Enrollment ID: O20041206000646 |
Mailing Address | Practice Location Address |
---|---|
Ms Angela Spoljaric, DDS 408 S Broadview St, Cape Girardeau, MO 63703-5725 Ph: (573) 334-4753 | Ms Angela Spoljaric, DDS 408 S Broadview St, Cape Girardeau, MO 63703-5725 Ph: (573) 334-4753 |
Dr. Ashley Wiest Mills, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Ross A Bennett Dds Pc Bennett Family Dentistry, 989 N. Mount Auburn Rd., Cape Girardeau, MO 63701 Phone: 573-334-8013 Fax: 573-334-4101 | |
Dr. Dominique Glennon Harter, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2857 Independence St, Cape Girardeau, MO 63703 Phone: 573-335-4646 | |
Charlene L Minton, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 408 S Broadview St, Cape Girardeau, MO 63703 Phone: 573-332-0808 Fax: 573-339-7945 | |
Randal Begley, Dentist Medicare: Medicare Enrolled Practice Location: 53 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-335-0300 | |
Philip Junho Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3070 William St, Cape Girardeau, MO 63703 Phone: 573-290-3111 | |
Dr. John Michael Freeze, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2857 Independence St, Cape Girardeau, MO 63703 Phone: 573-335-4646 Fax: 573-335-3340 | |
Dr. Richard J Swartz, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1367 N Mount Auburn Rd, Cape Girardeau, MO 63701 Phone: 573-334-3131 Fax: 573-334-4275 |