Organization
FINLEY RIVER DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN WAYNE DENNEY DMD (OWNER)
(417) 581-3400
Entity
Organization
Contact information
Practice address
600 N 3RD ST, OZARK, MO 65721-7601
(417) 581-3400
Mailing address
600 N 3RD ST, OZARK, MO 65721-7601
(417) 581-3400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021021740
DENTAL LICENSE
MO
Enumeration date
08/11/2022
Last updated
08/11/2022
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