Organization
JOE DAVID HUTCHISON, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH DAVID HUTCHISON D.D.S. (OWNER/DENTIST)
(573) 547-6691
Entity
Organization
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) 768-9155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11845
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15444
BLUECROSSBLUESHIELD OF MO
—
01
—
838501
UNITED CONCORDIA
—
Enumeration date
10/23/2006
Last updated
08/22/2020
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