Individual
JEREMY POYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 S MAIN ST, MARYVILLE, MO 64468-2444
(660) 582-8516
Mailing address
507 S MAIN ST, MARYVILLE, MO 64468-2444
(660) 582-8516
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2015016953
MO
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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