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Contact Information

OZARKS PREFERRED DENTAL GROUP
3259 E. SUNSHINE
STE. Q
SPRINGFIELD, MO65804
 Phone: 417-881-3220
 Fax: 417-881-6473
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for OZARKS PREFERRED DENTAL GROUP

NPI Number 1093205130
LBN Legal business name OZARKS PREFERRED DENTAL GROUP
Authorized official ROBERT REYNOLDS - (DENTST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2018
Last updated 05/15/2018 - About 8 years ago
Identifiers
MO License # 015036
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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