Organization
ASCEND DENTAL DESIGN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY L DORMAN D.D.S. (MEMBER)
(417) 887-3100
Entity
Organization
Contact information
Practice address
1200 E WOODHURST DR, BUILDING U, SPRINGFIELD, MO 65804-4240
(417) 887-3100
(417) 887-3066
Mailing address
1200 E WOODHURST DR, BUILDING U, SPRINGFIELD, MO 65804-4240
(417) 887-3100
(417) 887-3066
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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