# ADS BOLIVAR LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Access Dental, Dentures & Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144026014
- **Authorized official:** KARI HICKS (MANAGING DIRECTOR)
- **Authorized official phone:** (417) 501-1082

## Contact information

- **Practice address:** 4746 S 131ST RD, BOLIVAR, MO 65613-2886
- **Practice address phone:** (417) 501-1082
- **Mailing address:** PO BOX 2933, SPRINGFIELD, MO 65801-2933
- **Mailing address phone:** (417) 501-1082

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2025
- **Last updated:** 02/21/2025