Organization
ADVANCED DENTISTRY OF NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREY K KALBAUGH (SOLE MBR)
(417) 393-8613
Entity
Organization
Contact information
Practice address
1701 W AUSTIN BLVD, NEVADA, MO 64772-3720
(417) 667-7134
Mailing address
1701 W AUSTIN BLVD, NEVADA, MO 64772-3720
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
09/06/2023
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