Organization
ADVANCED DENTISTRY OF NEVADA MISSOURI
Active
Other names
Advanced Dentistry of Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALEB JOHNSEN DDS (OWNER)
(816) 541-1897
Entity
Organization
Contact information
Practice address
1701 W AUSTIN BLVD, NEVADA, MO 64772-3720
(417) 667-7134
Mailing address
1701 W AUSTIN BLVD, NEVADA, MO 64772-3720
(417) 667-7134
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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