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HIGGINBOTHAM DENTAL GROUP PLLC NPI 1366797953


NPI Information

NPI: 1366797953
Provider Name: HIGGINBOTHAM DENTAL GROUP, PLLC

Doing Business As: DOING BUSINESS AS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
103 1ST ST
KENNETT, MO
ZIP 63857
Phone: (573) 888-9944
Get Directions

HIGGINBOTHAM DENTAL GROUP, PLLC is a general practice dentist in Kennett, 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. HIGGINBOTHAM DENTAL GROUP, PLLC NPI is 1366797953. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Doing Business As.

The provider's business location address is:

103 1ST ST
KENNETT, MO
ZIP 63857-051
Phone: (573) 888-9944
Fax: (573) 888-9789

The provider's authorized official is Misti Ross .
The authorized official title is Ins Director and has the following contact phone number (870) 336-3732.

The enumeration date for this NPI number is 7/19/2012 and was last updated on 10/14/2020.


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 PracticeYes

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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