Organization
J. WARREN HILDRETH, JR DDS PC OF MISSOURI
Active
Other names
J. Warren Hildreth, Jr DDS PC of MO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY WARREN HILDRETH JR. DDS (OWNER)
(417) 466-7184
Entity
Organization
Contact information
Practice address
1050 W HAYWARD DR, MOUNT VERNON, MO 65712-6329
(417) 466-7184
(417) 466-4081
Mailing address
1050 W HAYWARD DR, MOUNT VERNON, MO 65712-6329
(417) 466-7184
(417) 466-4081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011226
MO
Other
Enumeration date
09/01/2006
Last updated
09/29/2015
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