Organization · Type 2 NPI

Southeast Missouri Health Network

Dentist · East Prairie, MO

NPI number 1679019491 Active

Practice location

111 Prairie Drive
East Prairie, MO 63845

Fax (573) 649-9331

Other practice locations

  • 111 Prairie Dr, Ste A & B, East Prairie, MO 63845-1114 · (573) 649-9311

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

Another provider at this address

About NPI 1679019491

Southeast Missouri Health Network's National Provider Identifier is 1679019491, issued on Jan 18, 2017. The primary taxonomy on file is Dentist (122300000X), and the practice location is in East Prairie, MO. The record was last updated on Nov 9, 2017.