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WALTER R. PFITZINGER D.D.S P.C. NPI 1164622395


NPI Information

NPI: 1164622395
Provider Name: WALTER R. PFITZINGER D.D.S,, P.C.

Doing Business As: MID MISSOURI DENTAL CENTER

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1500 VANDIVER DR
SUITE 104
COLUMBIA, MO
ZIP 65202
Phone: (573) 814-1694
Get Directions

WALTER R. PFITZINGER D.D.S,, P.C. is a pediatric dentistry dentist in Columbia, MO. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. WALTER R. PFITZINGER D.D.S,, P.C. NPI is 1164622395. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mid Missouri Dental Center.

The provider's business location address is:

1500 VANDIVER DR
SUITE 104
COLUMBIA, MO
ZIP 65202-932
Phone: (573) 814-1694
Fax: (573) 814-2845

The provider's authorized official is Kerri L Smith .
The authorized official title is Office Manager and has the following contact phone number (573) 814-1694.

The enumeration date for this NPI number is 7/25/2007 and was last updated on 7/25/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry010435MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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