Northeast Missouri Dental Clinic is a Dental Public Health Clinic in Kirksville, Missouri. This organization is also known as sub part of Northeast Missouri Health Council, Inc.. It is located at 402 W Jefferson St, Kirksville, MO and its contact number is 660-665-2741. The authorized person for Northeast Missouri Dental Clinic is Andrew H. Grimm
who is Executive Director of the clinic and their contact number is 660-627-5757. Northeast Missouri Dental Clinic Clinic deals with the science and art of dentistry for preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on community basis.
Complete Clinic Profile:
Northeast Missouri Dental Clinic Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Northeast Missouri Dental Clinic
Specialization:
Dental Public Health
Clinic Address:
402 W Jefferson St, Kirksville, Missouri, 63501-3407
Phone:
660-665-2741
Fax:
660-665-3109
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:
Andrew H. Grimm
Position:
Executive Director
Contact Number:
660-627-5757
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 Northeast Missouri Dental Clinic clinic are as mentioned below.
NPI Number:
1972649986
Parent Organization:
Northeast Missouri Health Council, Inc.
NPI Enumeration Date:
29 Jan, 2007
NPI Last Update On:
12 Oct, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northeast Missouri Dental Clinic are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Missouri
Primary
Dental Public Health
2001012903
Missouri
Secondary
Dental Public Health
2006007559
Missouri
Secondary
Dental Hygienist
003847
Missouri
Secondary
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
507477404
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:
Northeast Missouri Dental Clinic 1416 Crown Dr, P O Box 1027 Kirksville, Missouri
Zip:
63501-2548
Phone Number:
660-627-5757
Fax Number:
660-627-5802
Patients can reach Northeast Missouri Dental Clinic at 402 W Jefferson St, Kirksville, Missouri or can call to book an appointment on 660-665-2741. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.