Organization
NAIL DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GARY NAIL D.D.S. (SOLE MEMBER/OWNER)
(417) 881-1212
Entity
Organization
Contact information
Practice address
1200 E WOODHURST DR STE M400, SPRINGFIELD, MO 65804-3777
(417) 881-1212
(417) 881-7867
Mailing address
1200 E WOODHURST DR STE M400, SPRINGFIELD, MO 65804-3777
(417) 881-1212
(417) 881-7867
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
012092
MO
122300000X
Dentist
Primary
2007014543
MO
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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