is a Dental Clinic in Mountain Grove, Missouri. It is located at 921 N Main St, Mountain Grove, MO and its contact number is 417-501-1048. The authorized person for is Kari Hicks
who is Sr Administrator of the clinic and their contact number is 417-501-1048. The primary license number for is 2006012741 (General Practice) in Missouri. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
921 N Main St, Mountain Grove, Missouri, 65711-1316
Phone:
417-501-1048
Fax:
417-501-1661
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Kari Hicks
Position:
Sr Administrator
Contact Number:
417-501-1048
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1376088369
NPI Enumeration Date:
29 Dec, 2016
NPI Last Update On:
01 May, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
2006012741
Missouri
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500041194
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 2933, Springfield, Missouri
Zip:
65801-2933
Phone Number:
417-501-1048
Fax Number:
417-501-1661
Patients can reach at 921 N Main St, Mountain Grove, Missouri or can call to book an appointment on 417-501-1048. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.