Organization · NPI-2

Access Dental Services LP

Dentist, General Practice · Springfield, MO

NPI number1649589706
StatusActive
Last updated in NPPESMay 1, 2020

Details

NPI
1649589706
Entity type
Organization (NPI-2)
Legal business name
Access Dental Services LP
Organization subpart
No
Enumeration date
Oct 6, 2010
Certification date
May 1, 2020
Last updated
May 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2006012741MOYes

Other names

  • Access Dental & Dentures (Doing Business As)
  • Ozarks Family Dentistry LLC (Former Legal Business Name)

Practice location

1701 W Sunshine St Ste Q
Springfield, MO 65807-2261

Phone 417-501-1048 · Fax 417-501-1661

Mailing address

Po Box 2933
Springfield, MO 65801-2933

Phone 417-501-1048 · Fax 417-501-1661

Authorized official

Kari Hicks
Sr Administrator
4175011048

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