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Contact Information

MISSOURI DENTAL SPECIALISTS
1002 DIAMOND RDG STE 1500
JEFFERSON CITY, MO65109-7914
 Phone: 573-298-4400
 Fax: 573-616-1489
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for MISSOURI DENTAL SPECIALISTS · (Female)

NPI Number 1518427079
Status Active
Credentials
Entity Individual
Enumeration date 03/21/2019
Last updated 05/21/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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