Organization
MOC JOPLIN, PLLC
Active
Other names
Joplin Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MCBAY (CREDENTIALING MANAGER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
2602 S PICHER AVE, JOPLIN, MO 64804-1641
(417) 781-2220
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 988-0996
(918) 310-1056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
02/18/2020
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