Bolivar Smiles Dentistry, Llc | |
1300 N Oakland Ave Ste B Bolivar MO 65613-3008 | |
(417) 326-6061 | |
(417) 326-3537 |
Full Name | Bolivar Smiles Dentistry, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 1300 N Oakland Ave Ste B, Bolivar, Missouri |
Authorized Official Name and Position | Chad Louis Guerra (OWNER) |
Authorized Official Contact | 4173263537 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bolivar Smiles Dentistry, Llc 1300 N Oakland Ave Ste B Bolivar MO 65613-3008 Ph: (417) 326-6061 | Bolivar Smiles Dentistry, Llc 1300 N Oakland Ave Ste B Bolivar MO 65613-3008 Ph: (417) 326-6061 |
NPI Number | 1811622525 |
---|---|
Provider Enumeration Date | 07/18/2022 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811622525 | NPI | - | NPPES |
14888370 | Other | CAQH NUMBER | |
2009015933 | Other | MO | STATE LINCENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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› Verified 5 days ago
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