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NPI 1548035504 · Dental Clinic/Center · Rolla, MO

Provider details

NPI number: 1548035504
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Kari Hicks, Managing Director

Practice location

416 S Bishop Ave

Rolla, MO 65401-4311

Phone: (573) 426-5447

Fax: (573) 426-5659

More MO providers

Mailing address

Po Box 2933

Springfield, MO 65801-2933

Registry dates

Enumerated: 2023-11-20
Last updated: 2023-11-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.