Northside Dental LLC
Northside Dental LLC is a Dental Clinic/Center in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2014.
- Licensed in
- MO
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2105 W Kearney St Ste ASpringfield, MO 65803-1652
Phone: (417) 862-2468
Fax: (417) 863-6775
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 2003017125 (MO) |
|---|
Record details
| NPI number | 1922401793 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Derek Dds — Owner/Dentist · (417) 862-2468 |
| Other names | Northside Dental Clinic |
| NPI enumerated | October 7, 2014 |
| Last updated in NPPES | October 7, 2014 |
| Mailing address | 2105 W Kearney St, Suite A, Springfield, MO 65803-1652 |
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