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Priggel Family Dentistry Dmd LLC

Dentist in Sikeston, MO. Organization (NPI-2).

NPI number1649368564
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1649368564
Entity type
Organization (NPI-2)
Legal business name
Priggel Family Dentistry Dmd LLC
Organization subpart
No
Enumeration date
Oct 10, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

504 Tanner St
Priggel Family Dentistry Dmd LLC
Sikeston, MO 63801

Phone 573-472-3032 · Fax 573-472-3382

Mailing address

504 Tanner St
Priggel Family Dentistry Dmd LLC
Sikeston, MO 63801

Phone 573-472-3032 · Fax 573-472-3382

Authorized official

Mark Herman Priggel
Dentist
5734723032

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