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POPE DENTAL SERVICES LLC NPI 1427351923


NPI Information

NPI: 1427351923
Provider Name: POPE DENTAL SERVICES LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3306 EMERALD LN
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 638-3897
Get Directions

POPE DENTAL SERVICES LLC is a general practice dentist in Jefferson City, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. POPE DENTAL SERVICES LLC NPI is 1427351923. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3306 EMERALD LN
JEFFERSON CITY, MO
ZIP 65109-877
Phone: (573) 638-3897
Fax: (573) 761-0515

The provider's authorized official is Bryan Michael Pope .
The authorized official title is Dentist and has the following contact phone number (573) 638-3897.

The enumeration date for this NPI number is 12/6/2010 and was last updated on 12/6/2010.


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
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11477543965MEDICAIDMISSOURI

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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