Individual
DR. DEREK SCHNEICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1935 S RANGE LINE RD, JOPLIN, MO 64804-3238
(417) 420-9014
Mailing address
20688 AUDRAIN ROAD 928, MEXICO, MO 65265-6224
(417) 629-7220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2020016243
MO
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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