Organization
FOUTZ FAMILY DENTISTRY
Active
Other names
Grand Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOGAN B. FOUTZ DDS (MANAGER)
(801) 319-5726
Entity
Organization
Contact information
Practice address
948 S JEFFERSON AVE, SPRINGFIELD, MO 65806-3204
(417) 865-8405
Mailing address
948 S JEFFERSON AVE, SPRINGFIELD, MO 65806-3204
(417) 865-8405
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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