Organization
MATTHEW GASSEN D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW AARON GASSEN D.D.S. (PRESIDENT, DENTIST)
(573) 634-3050
Entity
Organization
Contact information
Practice address
1801 STADIUM BLVD, JEFFERSON CITY, MO 65109-1947
(573) 634-3050
(573) 635-6582
Mailing address
1801 STADIUM BLVD, JEFFERSON CITY, MO 65109-1947
(573) 634-3050
(573) 635-6582
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2001012606
MO
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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