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NEVADA FAMILY DENTISTRY LLC NPI 1144469370


NPI Information

NPI: 1144469370
Provider Name: NEVADA FAMILY DENTISTRY LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
402 E WALNUT ST
NEVADA, MO
ZIP 64772
Phone: (417) 667-3006
Get Directions

NEVADA FAMILY DENTISTRY LLC is a general practice dentist in Nevada, 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. NEVADA FAMILY DENTISTRY LLC NPI is 1144469370. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

402 E WALNUT ST
NEVADA, MO
ZIP 64772-458
Phone: (417) 667-3006
Fax: (417) 667-4579

The provider's authorized official is Robert Stephen Long .
The authorized official title is Member and has the following contact phone number (417) 667-3006.

The enumeration date for this NPI number is 2/11/2009 and was last updated on 2/11/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice011960MISSOURIYes

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: 5/5/2024

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