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Organization

JUMP DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY R JUMP DDS (OWNER)
(417) 326-2244
Entity
Organization

Contact information

Practice address
1300 N OAKLAND AVE STE C, BOLIVAR, MO 65613-3008
(417) 326-2244
(417) 326-8013
Mailing address
1300 N OAKLAND AVE STE C, BOLIVAR, MO 65613-3008
(417) 326-2244
(417) 326-8013

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
157528
MO

Other

Enumeration date
12/06/2010
Last updated
12/06/2010
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