Organization
ACCESS DENTAL SERVICES LP
Active
Other names
Ozarks Family Dentistry LLC, Access Dental & Dentures
Organization subpart
No
Provider details
NPI number
Authorized official
KARI HICKS (SR ADMINISTRATOR)
(417) 501-1048
Entity
Organization
Contact information
Practice address
1701 W SUNSHINE ST STE Q, SPRINGFIELD, MO 65807-2261
(417) 501-1048
(417) 501-1661
Mailing address
PO BOX 2933, SPRINGFIELD, MO 65801-2933
(417) 501-1048
(417) 501-1661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2006012741
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215241005
ACCESS DENTAL & DENTURES (ROLLA)
MO
01
—
1376088369
TYPE 2 NPI FOR ACCESS DENTAL & DENTURES (MTG)
MO
01
—
1427356989
TYPE 2 NPI ACCESS DENTAL & DENTURES SPRINGFIELD
MO
01
—
1821386459
ACCESS DENTAL & DENTURES (OSAGE BEACH)
MO
Enumeration date
10/06/2010
Last updated
05/01/2020
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