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TOWNE DENTAL OF OAK GROVE LLC NPI 1578893137


NPI Information

NPI: 1578893137
Provider Name: TOWNE DENTAL OF OAK GROVE LLC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
1206 S BROADWAY
OAK GROVE, MO
ZIP 64075
Phone: (816) 690-4141
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TOWNE DENTAL OF OAK GROVE LLC is a preferred provider organization in Oak Grove, MO. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. TOWNE DENTAL OF OAK GROVE LLC NPI is 1578893137. The provider is registered as an organization entity type.

The provider's business location address is:

1206 S BROADWAY
OAK GROVE, MO
ZIP 64075-100
Phone: (816) 690-4141

The provider's authorized official is Deborah L Wolff .
The authorized official title is Co Owner and has the following contact phone number (816) 214-6755.

The enumeration date for this NPI number is 1/5/2010 and was last updated on 1/5/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider Organization12760MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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