Individual
THEODORE TRENT BOZARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1303 S PARK ST, EL DORADO SPRINGS, MO 64744-2035
(417) 876-6575
(417) 876-6575
Mailing address
PO BOX 326, EL DORADO SPRINGS, MO 64744-0326
(417) 876-6575
(417) 876-6575
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12647
MO
1223G0001X
General Practice Dentistry
Primary
12647
MO
Other
Enumeration date
10/25/2006
Last updated
09/11/2025
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