Battlefield Modern Dentistry LLC
Clinic/Center, Dental in Battlefield, MO. Organization (NPI-2).
NPI number1336714732
StatusActive
Last updated in NPPESJun 5, 2021
Details
- NPI
- 1336714732
- Entity type
- Organization (NPI-2)
- Legal business name
- Battlefield Modern Dentistry LLC
- Organization subpart
- No
- Enumeration date
- May 26, 2021
- Certification date
- Jun 5, 2021
- Last updated
- Jun 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
5469 S State Highway FfBattlefield, MO 65619-9825
Phone 417-447-5180
Mailing address
5469 S State Highway FfBattlefield, MO 65619-9825
Phone 417-447-5180
Authorized official
Nathan Bowen
Owner
7022838421
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