Individual
TABITHA VOLLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1701 W. SUNSHINE STREET, SUITE Q, SPRINGFIELD, MO 65807-2261
(417) 501-1048
(417) 501-1661
Mailing address
1701 W SUNSHINE, SUITE Q, SPRINGFIELD, MO 65807-2261
(417) 501-1048
(417) 501-1661
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2012022466
MO
126800000X
Dental Assistant
2016004422
MO
126800000X
Dental Assistant
2016004424
MO
126800000X
Dental Assistant
2016004425
MO
126800000X
Dental Assistant
2016004427
MO
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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