Organization
ACCESS DENTAL SERVICES LP
Active
Other names
Access Dental, Dentures & Implants
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARI A HICKS (MANAGING DIRECTOR)
(417) 501-1082
Entity
Organization
Contact information
Practice address
1070 S BISHOP AVE, UNIT B, ROLLA, MO 65401
(573) 426-5447
(573) 426-5659
Mailing address
PO BOX 2933, SPRINGFIELD, MO 65801-2933
(417) 501-1082
(417) 501-7128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2006012741
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100617150314027
—
MO
05
—
504350307
—
MO
Enumeration date
08/04/2010
Last updated
01/08/2025
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