Organization
TWO RIVERS DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN DAVID ANDERSON DDS (MANAGING MEMBER)
(541) 450-0336
Entity
Organization
Contact information
Practice address
703 N MCCROSKEY ST STE 3, NIXA, MO 65714-9016
(541) 374-5057
(541) 374-5056
Mailing address
2405 WESTWIND DR, OZARK, MO 65721-5942
(541) 450-0336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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