# ASCEND DENTAL DESIGN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043691462
- **Authorized official:** DR. JEFFREY L DORMAN D.D.S. (MEMBER)
- **Authorized official phone:** (417) 887-3100

## Contact information

- **Practice address:** 1200 E WOODHURST DR, BUILDING U, SPRINGFIELD, MO 65804-4240
- **Practice address phone:** (417) 887-3100
- **Practice address fax:** (417) 887-3066
- **Mailing address:** 1200 E WOODHURST DR, BUILDING U, SPRINGFIELD, MO 65804-4240
- **Mailing address phone:** (417) 887-3100
- **Mailing address fax:** (417) 887-3066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2015
- **Last updated:** 06/11/2015