IndividualActive
Jody Vance, D.D.S, M.S.
NPI 1346373347 · Periodontics · Springfield, MO
Provider details
- NPI number
- 1346373347
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S, M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 015623 (MO)
Specialties & taxonomies
Dental Providers
Practice location
3331 E Montclair St Ste G
Springfield, MO 65804-4786
Phone: (417) 889-5297
Fax: (417) 889-6462
Approximate (ZIP-level) locationGet directions
Mailing address
3331 E Montclair St Ste G
Springfield, MO 65804-4786
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.