Organization
OZARKS PREFERRED DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT REYNOLDS D.D.S. (DENTST/OWNER)
(471) 881-3220
Entity
Organization
Contact information
Practice address
3259 E. SUNSHINE, STE. Q, SPRINGFIELD, MO 65804
(417) 881-3220
(417) 881-6473
Mailing address
3259 E. SUNSHINE, STE. Q, SPRINGFIELD, MO 65804
(417) 881-3220
(417) 881-6473
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015036
MO
1223G0001X
General Practice Dentistry
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Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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