Organization
SPRINGFIELD SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMELA J JONES (PRACTICE ADMINISTRATOR)
(417) 501-8601
Entity
Organization
Contact information
Practice address
1722 S GLENSTONE AVE STE O, SPRINGFIELD, MO 65804-1513
(417) 501-8601
(417) 501-8602
Mailing address
1722 S GLENSTONE AVE STE O, SPRINGFIELD, MO 65804-1513
(417) 501-8601
(417) 501-8602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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