Individual
CLIFTON WAITE MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3016 NORTH KENTWOOD, SPRINGFIELD DENTURE CENTER, SPRINGFIELD, MO 65803-4414
(417) 833-1474
(417) 833-1243
Mailing address
3016 NORTH KENTWOOD, SPRINGFIELD DENTURE CENTER, SPRINGFIELD, MO 65803-4414
(417) 833-1474
(417) 833-1243
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015693
MO
122300000X
Dentist
—
IL
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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