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Contact Information

RIVER WILLOW DENTAL CENTER LLC
2 WAINWRIGHT ST STE 210
WASHINGTON, MO63090
 Phone: 636-392-6797
 Fax: 636-392-6792
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for RIVER WILLOW DENTAL CENTER LLC · (Female)

NPI # 1427857127
Status Active
Credentials
Entity Individual
Enumeration date 03/13/2025
Last updated 12/17/2025 - About 6 months ago
Sole proprietor 1 Not specified
Identifiers
  • MO Medicaid 500154903
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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