Southeast Missouri Health Network
Southeast Missouri Health Network is a General Practice Dentistry in New Madrid, Missouri. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
202B Main StNew Madrid, MO 63869-1911
Phone: (573) 748-5671
Fax: (573) 748-5317
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X |
Record details
| NPI number | 1457570681 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Southeast Missouri Health Network |
| Authorized official | Christopher Jones — Chief Executive Officer · (573) 748-2404 |
| Other names | Bootheel Dental Clinic |
| NPI enumerated | April 25, 2007 |
| Last updated in NPPES | July 22, 2014 |
| Mailing address | 420 Semo Dr, P.O. Box 400, New Madrid, MO 63869-1734 |