Organization
SPOT 1, LLC
Active
Other names
The Smile Spot
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAYNA BAHR (MANAGER)
(303) 524-4501
Entity
Organization
Contact information
Practice address
1324 E MONTCLAIR ST, SPRINGFIELD, MO 65804-4245
(417) 886-9939
Mailing address
1712 PIONEER AVE, STE 101, CHEYENNE, WY 82001-4406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
MO
1223P0221X
Pediatric Dentistry
Primary
—
MO
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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