# GIPSON, ARQUITT, MEYER AND SHANER DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801091657
- **Authorized official:** MS. SUSAN RUST (ADMINISTRATOR)
- **Authorized official phone:** (417) 887-8800

## Contact information

- **Practice address:** 1103 E MONTCLAIR ST, SUITE 100, SPRINGFIELD, MO 65807-5076
- **Practice address phone:** (417) 887-8800
- **Practice address fax:** (417) 887-6265
- **Mailing address:** 1103 E MONTCLAIR ST, SUITE 100, SPRINGFIELD, MO 65807-5076
- **Mailing address phone:** (417) 887-8800
- **Mailing address fax:** (417) 887-6265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | MO | Yes |

## Other

- **Enumeration date:** 06/20/2007
- **Last updated:** 01/18/2024