Individual
MICAYLA SHRIMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1802 W KEARNEY ST, SPRINGFIELD, MO 65803-1647
(417) 567-8227
Mailing address
3312 HICKORY ST, OMAHA, NE 68105-2536
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7740
NE
1223P0221X
Pediatric Dentistry
Primary
2023006785
MO
Other
Enumeration date
06/29/2021
Last updated
05/21/2024
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