Organization
SOUTHEAST MISSOURI HEALTH NETWORK
Active
Other names
Caruthersville Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JONES (CEO)
(573) 748-2404
Entity
Organization
Contact information
Practice address
109 E 5TH ST, CARUTHERSVILLE, MO 63830-1417
(573) 359-9803
(573) 359-0990
Mailing address
6738 STATE HIGHWAY 77, BENTON, MO 63736-8238
(573) 313-2500
(573) 313-2505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/22/2015
Last updated
01/17/2025
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