State Fair Dental LLC
State Fair Dental LLC is a General Practice Dentistry in Sedalia, Missouri. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1806 W 5th StSedalia, MO 65301-2420
Phone: (972) 869-3789
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
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1326644600 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Faith Gaskins — Director Of Credentialing · (630) 877-3520 |
| Other names | Hometown Dental |
| NPI enumerated | December 10, 2020 |
| Last updated in NPPES | December 10, 2020 |
| Certification date | December 10, 2020 |
| Mailing address | 1806 W 5th St, Sedalia, MO 65301-2420 |
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