Individual
DR. GREGORY BRUCE KIVETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
525 W 32ND ST, JOPLIN, MO 64804-2514
(417) 781-5600
(417) 623-5177
Mailing address
7301 W HWY 86, JOPLIN, MO 64804-8608
(417) 781-5600
(417) 623-5177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2005015022
MO
Other
Enumeration date
05/25/2006
Last updated
09/23/2013
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