DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INNOVATIVE DENTAL

Active Organization

INNOVATIVE DENTAL is a Preferred Provider Organization organization located in SPRINGFIELD, Missouri. NPI 1043622368 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · SPRINGFIELD, MO

Registration Details

NPI Number
1043622368
Provider Type
Organization
NPI Issued
May 21, 2014 (12.257319198425 yrs)
Last Updated
May 21, 2014
License
2011016216 (MO)

Practice Information

Address
3424 S CULPEPPER CT
SPRINGFIELD, MO, 658043755
Browse MO providers · Browse ZIP 65804
Phone
4178894746
Primary Specialty
Preferred Provider Organization
305R00000X

Other Preferred Provider Organization Organizations in SPRINGFIELD, MO

Name NPI
ROBERT T. DEWAR, DDS., PC 1487007845
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.