Organization · Type 2 NPI
Derek R. Kaelin, D.d.s, LLC
Dental Clinic/Center · Springfield, MO
NPI number
1295030203
Active
Practice location
2105 W Kearney St Ste A
Springfield, MO 65803-1666
Fax (417) 863-6775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 2003017125 (MO) |
Dental Clinic/Center: Definition to come...
4 other providers at this address
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About NPI 1295030203
Derek R. Kaelin, D.d.s, LLC's National Provider Identifier is 1295030203, issued on Jan 21, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Springfield, MO. The record was last updated on Jan 21, 2011.