INNOVATIVE DENTAL

Preferred Provider Organization

Active Organization
NPI: 1043622368

Practice Address

3424 S CULPEPPER CT
Springfield, MO 65804

Phone: (417) 889-4746

Specialties

Specialty Code Primary License
Preferred Provider Organization 305R00000X Yes 2011016216 (MO)

Frequently Asked Questions

NPI 1043622368 is the National Provider Identifier for INNOVATIVE DENTAL, a Preferred Provider Organization provider located in Springfield, MO. This NPI was enumerated on May 21, 2014.

Quick Facts

NPI
1043622368
Type
Organization
Enumerated
May 21, 2014
Last Updated
May 21, 2014

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