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NPI 1821386459 · General Practice Dentistry · Osage Beach, MO
Provider details
- NPI number
- 1821386459
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Authorized official
- Kari Hicks, Sr Administrator
Practice location
4320 Osage Beach Pkwy
Osage Beach, MO 65065-2142
Phone: (573) 348-1466
Fax: (573) 348-1581
Mailing address
Po Box 2933
Springfield, MO 65801-2933
Registry dates
- Enumerated
- 2011-07-18
- Last updated
- 2020-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.