Organization · Type 2 NPI
Dentaq
Customized Equipment (DME) · Ozark, MO
NPI number
1104514322
Active
Practice location
1136 W Jackson St
Ozark, MO 65721-9164
Fax (417) 485-2420
Mailing address
2305 S Blackman Rd Ste 100
Springfield, MO 65809-2845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | None listed |
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
2 other providers at this address
Other customized equipment (dme) providers in Ozark
About NPI 1104514322
Dentaq's National Provider Identifier is 1104514322, issued on Apr 26, 2023. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Ozark, MO. The record was last updated on Jun 4, 2024.