Organization
OZARKS FAMILY DENTISTRY LLC
Active
Other names
Meramec Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LOWDEN (OPERATIONS DIRECTOR)
(870) 580-0521
Entity
Organization
Contact information
Practice address
1333 W OUTER 21 RD, ARNOLD., MO 63010
(870) 580-0521
Mailing address
1333W OUTER 21 ROAD, ARNOLD, MO 63010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2006012741
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215241005
—
MO
05
—
1891704193
—
MO
Enumeration date
09/19/2012
Last updated
10/05/2012
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