Organization · Type 2 NPI
Northside Dental L.l.c.
Dental Clinic/Center · Springfield, MO
NPI number
1922401793
Active
Practice location
2105 W Kearney St, Suite A
Springfield, MO 65803-1652
Fax (417) 863-6775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 2003017125 (MO) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1922401793
Northside Dental L.l.c.'s National Provider Identifier is 1922401793, issued on Oct 7, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Springfield, MO. The record was last updated on Oct 7, 2014.