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Contact Information

LORI ADELL, DDS
903 S KINGSHIGHWAY ST
SIKESTON, MO63801-4415
 Phone: 573-471-4167
 Fax: 573-472-4050
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for LORI ADELL · (Female)

NPI # 1992716229
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/11/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2005016963
  • MO Medicaid 406087205
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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