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Robert John Mense III, DMD Student

Student in an Organized Health Care Education/Training Program in Kirksville, MO. Individual provider (NPI-1).

NPI number1245189588
StatusActive
Last updated in NPPESJan 28, 2026

Details

NPI
1245189588
Entity type
Individual (NPI-1)
Name
Robert John Mense III
Credential
DMD Student
Sex
Male
Sole proprietor
No
Enumeration date
Jan 28, 2026
Certification date
Jan 27, 2026
Last updated
Jan 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–MOYes

Practice location

800 W Jefferson St
Kirksville, MO 63501-1443

Phone 660-626-2121

Mailing address

800 W Jefferson St
Kirksville, MO 63501-1443

Phone 660-626-2121

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