Giants Sc Dental
Dentist, General Practice in Springfield, MO. Organization (NPI-2).
NPI number1245057504
StatusActive
Last updated in NPPESSep 26, 2024
Details
- NPI
- 1245057504
- Entity type
- Organization (NPI-2)
- Legal business name
- Giants Sc Dental
- Organization subpart
- No
- Enumeration date
- Sep 26, 2024
- Certification date
- Sep 26, 2024
- Last updated
- Sep 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- South City Dental (Doing Business As)
Practice location
3550 S Campbell AveSpringfield, MO 65807-5183
Phone 417-887-4021
Mailing address
3550 S Campbell AveSpringfield, MO 65807-5183
Authorized official
Ryan Harris
Owner
7025804285
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