Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1306831904
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1103, East Montclair Street, Old Monterey Apartments, Springfield, Greene County, Missouri, 65807, United States
SUITE 100
SPRINGFIELD, MO 658075076
Phone: (417) 887-8800
Fax: (417) 887-6265
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65807)
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