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J. WARREN HILDRETH JR DDS PC OF MISSOURI NPI 1952403040


NPI Information

NPI: 1952403040
Provider Name: J. WARREN HILDRETH, JR DDS PC OF MISSOURI

Former Legal Business Name: J. WARREN HILDRETH, JR DDS PC OF MO

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1050 W HAYWARD DR
MOUNT VERNON, MO
ZIP 65712
Phone: (417) 466-7184
Get Directions

J. WARREN HILDRETH, JR DDS PC OF MISSOURI is a general practice dentist in Mount Vernon, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. J. WARREN HILDRETH, JR DDS PC OF MISSOURI NPI is 1952403040. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is J. Warren Hildreth, Jr Dds Pc Of Mo.

The provider's business location address is:

1050 W HAYWARD DR
MOUNT VERNON, MO
ZIP 65712-329
Phone: (417) 466-7184
Fax: (417) 466-4081

The provider's authorized official is Jay Warren Hildreth .
The authorized official title is Owner and has the following contact phone number (417) 466-7184.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 9/29/2015.


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
11223G0001XDentistGeneral Practice011226MISSOURIYes

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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