Individual
DR. JACOB HUTCHINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
Mailing address
13 HILLCREST BLVD, BALLWIN, MO 63021-5255
(314) 306-2468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11023
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2017
Last updated
05/07/2019
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