Adepoju Dmd LLC
Dentist, General Practice in Springfield, MO. Organization (NPI-2).
NPI number1396382404
StatusActive
Last updated in NPPESJun 20, 2023
Details
- NPI
- 1396382404
- Entity type
- Organization (NPI-2)
- Legal business name
- Adepoju Dmd LLC
- Organization subpart
- No
- Enumeration date
- Dec 9, 2019
- Certification date
- Jun 20, 2023
- Last updated
- Jun 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
3842 S Glenstone AveSpringfield, MO 65804-4418
Phone 417-719-1678
Mailing address
Po Box 70887Cleveland, OH 44190-0887
Authorized official
Adegbenga Adepoju
Owner
4177191678
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