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Organization

SPRINGFIELD DENTISTRY 4 KIDS LLC

Active
Other names
Springfield Dentistry 4 Kids
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA ZWICKY (CREDENTIALING MANAGER)
(480) 866-8811
Entity
Organization

Contact information

Practice address
900 E BATTLEFIELD ST STE 140, SPRINGFIELD, MO 65807-5208
(480) 866-8811
Mailing address
900 E BATTLEFIELD ST STE 140, SPRINGFIELD, MO 65807-5208
(417) 469-7637

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/01/2023
Last updated
08/20/2025
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