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Organization
DENTAQ
Active
Organization
DENTAQ
Active
Other names
Riverpointe Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBYE BATTERSON (OFFICE MANAGER)
(417) 830-0475
Entity
Organization
Contact information
Practice address
1136 W JACKSON ST, OZARK, MO 65721-9164
(417) 581-2421
(417) 485-2420
Mailing address
2305 S BLACKMAN RD STE 100, SPRINGFIELD, MO 65809-2845
(417) 887-3860
(417) 877-7749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
06/04/2024
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