Organization
CHILDRENS SMILE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE W MILLSAP (PROGRAM DIRECTOR)
(417) 582-5439
Entity
Organization
Contact information
Practice address
601 603 NORTH 21ST STREET, OZARK, MO 65721
(417) 582-5439
(417) 485-5455
Mailing address
601 603 NORTH 21ST STREET, OZARK, MO 65721
(417) 582-5439
(417) 485-5455
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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