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Organization

ACCESS DENTAL & DENTURES LLC

Active
Parent organization
ACCESS DENTAL & DENTURES LLC
Other names
DBA: Little Grinz
Organization subpart
Yes

Provider details

NPI number
Legal business name
ACCESS DENTAL & DENTURES LLC
Authorized official
KARI ANN HICKS (OFFICE MANAGER)
(417) 501-1048
Entity
Organization

Contact information

Practice address
565 HOWDERSHELL RD, FLORISSANT, MO 63031
(314) 731-6150
(314) 731-6149
Mailing address
1701 W. SUNSHINE SUITE Q, SPRINGFIELD, MO 65807-2261
(417) 501-1048
(417) 501-1661

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2006012741
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215241005
MO
01
1285984013.
MERAMAC FAMILY DENTISTRY ANOTHER LOCATION
MO
05
1891704193
MO
Enumeration date
10/11/2012
Last updated
06/01/2016
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