MIDMO DENTAL LLC NPI 1720264187

NPI Information

NPI: 1720264187
Provider Name: MIDMO DENTAL, LLC

Doing Business As: ROBERT DAVIS, DDS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1804 W 5TH ST
SEDALIA, MO
ZIP 65301
Phone: (816) 522-3549
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MIDMO DENTAL, LLC is a dental clinic center in Sedalia, MO. MIDMO DENTAL, LLC NPI is 1720264187. The provider is registered as an organization entity type.
The provider Is Doing Business As Robert Davis, Dds.

The provider's business location address is:

1804 W 5TH ST
SEDALIA, MO
ZIP 65301-420
Phone: (816) 522-3549

The provider's authorized official is Robert M Davis .
The authorized official title is Owner and has the following contact phone number (816) 522-3549.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 1/16/2008.

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
1	261QD0000X	Clinic/Center	Dental	2006014398	MISSOURI	Yes

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

NPI Synchronization or Removal

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