# NORTHEAST MISSOURI HEALTH COUNCIL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kahoka Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457634594
- **Authorized official:** ANDREW GRIMM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (660) 627-5757

## Contact information

- **Practice address:** 22291 US HIGHWAY 136, KAHOKA, MO 63445
- **Practice address phone:** (660) 727-1500
- **Practice address fax:** (660) 727-1502
- **Mailing address:** 1416 CROWN DR, KIRKSVILLE, MO 63501-2548
- **Mailing address phone:** (660) 627-5757
- **Mailing address fax:** (660) 627-5802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | 2007014537 | MO | Yes |

## Other

- **Enumeration date:** 09/26/2011
- **Last updated:** 01/17/2022