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Contact Information

ADVANCED DENTAL CARE OF CHESTERFIELD INC
2104 W CHESTERFIELD BLVD
SPRINGFIELD, MO65804
 Phone: 417-889-5015
 Fax: 417-889-5016
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL CARE OF CHESTERFIELD INC · (Female)

NPI # 1861596181
Status Active
Credentials
Entity Individual
Enumeration date 09/08/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 2000144128
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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