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Organization
ADS SPRINGFIELD EAST LP
Active
Organization
ADS SPRINGFIELD EAST LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI A HICKS (MANAGING DIRECTOR)
(417) 501-1082
Entity
Organization
Contact information
Practice address
2965 E CHESTNUT EXPY, SPRINGFIELD, MO 65802-2595
(417) 831-3311
(417) 831-0552
Mailing address
PO BOX 2933, SPRINGFIELD, MO 65801-2933
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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