Organization
POPE DENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN MICHAEL POPE DDS (DENTIST)
(573) 638-3897
Entity
Organization
Contact information
Practice address
3306 EMERALD LN, JEFFERSON CITY, MO 65109-6877
(573) 638-3897
(573) 761-0515
Mailing address
3306 EMERALD LN, JEFFERSON CITY, MO 65109-6877
(573) 638-3897
(573) 761-0515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477543965
—
MO
Enumeration date
12/06/2010
Last updated
12/06/2010
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