Organization
MCCOY SAMPLES MATTINGLY DENTAL CLINIC
Active
Other names
McCoy Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLFE C MCCOY DMD (CEO)
(660) 646-3802
Entity
Organization
Contact information
Practice address
850 FAIRWAY DR, CHILLICOTHE, MO 64601
(660) 646-3802
(660) 646-3887
Mailing address
850 FAIRWAY DR, PO BOX 1167, CHILLICOTHE, MO 64601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/18/2007
Last updated
02/18/2019
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