Organization
OZARK FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON (OWNER)
(417) 626-7558
Entity
Organization
Contact information
Practice address
1009 E 20TH ST, JOPLIN, MO 64804-2204
(417) 623-2440
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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