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Advanced Dental Care Of Chesterfield INC

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

NPI number1861596181
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1861596181
Entity type
Organization (NPI-2)
Legal business name
Advanced Dental Care Of Chesterfield INC
Organization subpart
No
Enumeration date
Sep 8, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist2000144128MOYes

Practice location

2104 W Chesterfield Blvd
Springfield, MO 65804

Phone 417-889-5015 · Fax 417-889-5016

Mailing address

2827 Arizona Ave
Joplin, MO 64804

Phone 417-782-5005 · Fax 417-782-0175

Authorized official

John C Durling
Owner
4177824295

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