Organization · NPI-2

3b DDS LLC

Dentist, General Practice · Springfield, MO

NPI number1528818283
StatusActive
Last updated in NPPESMar 25, 2024

Details

NPI
1528818283
Entity type
Organization (NPI-2)
Legal business name
3b DDS LLC
Organization subpart
No
Enumeration date
Mar 25, 2024
Certification date
Mar 25, 2024
Last updated
Mar 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment––

Other names

  • South City Dental (Doing Business As)

Practice location

3550 S Campbell Ave
Springfield, MO 65807-5183

Phone 417-887-4021 · Fax 417-579-0300

Mailing address

3550 S Campbell Ave
Springfield, MO 65807-5183

Phone 417-887-4021 · Fax 417-579-0300

Authorized official

Thomas Hoff
Owner
4178874021

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