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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

NPI Number 1861596181
LBN Legal business name ADVANCED DENTAL CARE OF CHESTERFIELD INC
Authorized official JOHN DURLING - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MO License # 2000144128
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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