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

TAILWATER PRACTICE PARTNERS

Active Organization

Dental Clinic · ROLLA, MO

Registration Details

NPI Number
1073393336
Provider Type
Organization
NPI Issued
Oct 4, 2023 (2.5668261629955 yrs)
Last Updated
Oct 4, 2023

Practice Information

Address
1701 E 10TH ST
ROLLA, MO, 654014601
Browse MO providers · Browse ZIP 65401
Phone
5733641599
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in ROLLA, MO

Name NPI
WEDGEWOOD DENTAL L.L.C. 1710376470
ADS ROLLA LP 1548035504
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.