Organization · Type 2 NPI

Formanek DDS LLC

General Practice Dentistry · Jefferson City, MO

NPI number 1508355900 Active

Practice location

2226 Missouri Blvd
Jefferson City, MO 65109-4727

Mailing address

PO Box 70887
Cleveland, OH 44190-7088

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1508355900

Formanek DDS LLC's National Provider Identifier is 1508355900, issued on May 2, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jefferson City, MO. The record was last updated on Jun 13, 2023.