Full Name | Tooth Truck |
---|---|
Speciality | Dentist - Dental Public Health |
Location | 949 E. Primrose, Springfield, Missouri |
Authorized Official Name and Position | Bonnie Keller (PRESIDENT CEO) |
Authorized Official Contact | 4178753503 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tooth Truck 949 E. Primrose Springfield MO 65807 Ph: (417) 875-3504 | Tooth Truck 949 E. Primrose Springfield MO 65807 Ph: (417) 875-3504 |
NPI Number | 1083836381 |
---|---|
Provider Enumeration Date | 05/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083836381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0001X | Dentist - Dental Public Health | (Missouri) | Primary |
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Ads Springfield East Lp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2965 E Chestnut Expy, Springfield, MO 65802 Phone: 417-831-3311 Fax: 417-831-0552 | |
Tags Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1557 E Primrose St Ste 116, Springfield, MO 65804 Phone: 417-882-0987 | |
Ascend Dental Design, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 E Woodhurst Dr, Building U, Springfield, MO 65804 Phone: 417-887-3100 Fax: 417-887-3066 | |
Brett D Wyman Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1614 N Benton Ave, Springfield, MO 65803 Phone: 417-862-9925 Fax: 417-862-4541 | |
Ozarks Preferred Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3259 E. Sunshine, Ste. Q, Springfield, MO 65804 Phone: 417-881-3220 Fax: 417-881-6473 | |
John D Heard Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1335 E Independence St, Springfield, MO 65804 Phone: 417-883-3333 |