Organization
DENTAL WELLNESS PARTNERS LLC
Active
Parent organization
DENTAL WELLNESS PARTNERS LLC
Other names
Summit Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL WELLNESS PARTNERS LLC
Authorized official
MISTY WILLIAMS DDS (PARTNER/DENTIST)
(573) 355-4856
Entity
Organization
Contact information
Practice address
2310 FORUM BLVD APT A, COLUMBIA, MO 65203-5461
(573) 446-0032
Mailing address
2310 FORUM BLVD APT A, COLUMBIA, MO 65203-5461
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194138362
—
MO
Enumeration date
02/05/2024
Last updated
02/05/2024
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