Individual
DR. JUSTIN WAYNE DENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
600 N 3RD ST, OZARK, MO 65721-7601
(417) 581-3400
Mailing address
600 N 3RD ST, OZARK, MO 65721-7601
(417) 581-3400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021021740
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021021740
MISSOURI DENTAL BOARD
MO
Enumeration date
02/17/2010
Last updated
08/11/2022
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