Organization · Type 2 NPI
Copper Creek LLC
Dental Clinic/Center · Ozark, MO
NPI number
1104319862
Active
Practice location
797 W South St
Ozark, MO 65721-9261
Mailing address
119 Jared Blvd
Webb City, MO 64870-9214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 2015016758 (MO) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Ozark
About NPI 1104319862
Copper Creek LLC's National Provider Identifier is 1104319862, issued on Jun 7, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ozark, MO. The record was last updated on Jun 7, 2018.