Individual
DR. JOSEPH DAVID HUTCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22 S WEST ST, PERRYVILLE, MO 63775-2547
(573) 547-6691
(573) 547-6691
Mailing address
22 S WEST ST, PERRYVILLE, MO 63775-2547
(573) 547-6691
(573) 547-6691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11845
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15444
BLUE CROSS BLUE SHIELD MO
—
05
—
400315206
—
MO
01
—
838501
UNITED CONCORDIA
—
Enumeration date
08/04/2008
Last updated
08/04/2008
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