# MARK A. WESTHOFF,D.D.S.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mark A. Westhoff,D.D.S.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689680365
- **Authorized official:** DR. MARK ALAN WESTHOFF D.D.S. (PRESIDENT/CEO)
- **Authorized official phone:** (417) 358-9006

## Contact information

- **Practice address:** 626 W CENTENNIAL AVE, CARTHAGE, MO 64836-2846
- **Practice address phone:** (417) 358-9006
- **Practice address fax:** (417) 358-3064
- **Mailing address:** 626 W CENTENNIAL AVE, CARTHAGE, MO 64836-2846
- **Mailing address phone:** (417) 358-9006
- **Mailing address fax:** (417) 358-3064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | MO14349 | MO | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 08/22/2020