Organization
JON COPELAND DDS LLC
Active
Other names
Town Center Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRISTAN WAMPLER (OFFICE MANAGER)
(636) 273-5866
Entity
Organization
Contact information
Practice address
2426 TAYLOR RD, WILDWOOD, MO 63040-1222
(636) 273-5866
Mailing address
2426 TAYLOR RD, WILDWOOD, MO 63040-1222
(636) 273-5866
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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