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Innovative Dental
Preferred Provider Organization in Springfield, Missouri
NPI 1043622368

Innovative Dental is a Preferred Provider Organization based in Springfield, MO. Innovative Dental practices in Springfield, MO. The NPI Number for Innovative Dental is 1043622368 and holds a License No. 2011016216 (Missouri).

The current practice location address for Innovative Dental is 3424 S Culpepper Ct, Springfield, MO and can be reached out via phone at 417-889-4746.

Location: 3424 S Culpepper Ct, Springfield, MO, 65804-3755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043622368
Provider Name
Innovative Dental
Credential
Provider Entity Type
Organization
Address
3424 S Culpepper Ct, Springfield, MO, 65804-3755
Phone Number
417-889-4746
Fax Number
Provider Enumeration Date
05/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3424 01 DENTAL OFFICE
institution
Provider Business Practice Location Address Details
Address
3424 S Culpepper Ct
City
Springfield
State
Missouri
Zip
65804-3755
Phone Number
417-889-4746
Fax Number
person
Provider Business Mailing Address Details
Address
3424 S Culpepper Ct
City
Springfield
State
Missouri
Zip
65804-3755
Phone Number
417-889-4746
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
2011016216 (Missouri)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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