Individual
ADELINE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
109 E 5TH ST, CARUTHERSVILLE, MO 63830-1417
(573) 922-5007
(573) 922-5117
Mailing address
6738 STATE HIGHWAY 77, BENTON, MO 63736-8238
(573) 313-2500
(573) 293-6841
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2026027345
MO
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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