Individual
DR. KEITH VAN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2965 E CHESTNUT EXPRESSWAY, SPRINGFIELD, MO 65802
(417) 831-3311
(417) 831-0552
Mailing address
1638 E WALNUT, SPRINGFIELD, MO 65802
(417) 866-0272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14371
MO
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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