Organization
ADS ROLLA LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI A HICKS (MANAGING DIRECTOR)
(417) 501-1082
Entity
Organization
Contact information
Practice address
416 S BISHOP AVE, ROLLA, MO 65401-4311
(573) 426-5447
(573) 426-5659
Mailing address
PO BOX 2933, SPRINGFIELD, MO 65801-2933
(417) 501-1082
(417) 501-1728
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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