Organization
DEERE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILAH K DEERE (OWNER/OFFICE MANAGER)
(573) 379-5407
Entity
Organization
Contact information
Practice address
205 E 4TH ST, PORTAGEVILLE, MO 63873-1464
(573) 379-5407
(573) 379-5407
Mailing address
205 E 4TH ST, PORTAGEVILLE, MO 63873-1464
(573) 379-5407
(573) 379-5407
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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