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Dr. Susan Pancoast Eddleman, DDS
General Practice Dentistry in Rock Port, Missouri
NPI 1184610909

Susan Pancoast Eddleman is a General Practice Dentistry based in Rock Port, MO and is specialized in General Practice. Susan Pancoast Eddleman practices in Rock Port, MO and has the professional credentials of DDS. The NPI Number for Susan Pancoast Eddleman is 1184610909 and holds a License No. 14169 (Missouri).

The current practice location address for Susan Pancoast Eddleman is 204 S Main St, Rock Port, MO and can be reached out via phone at 660-744-5391.

Location: 204 S Main St, Rock Port, MO, 64482-1532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184610909
Provider Name
Susan Pancoast Eddleman
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
204 S Main St, Rock Port, MO, 64482-1532
Phone Number
660-744-5391
Fax Number
Provider Enumeration Date
09/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13627011 01 MO BCBS OF KANSAS CITY
institution
Provider Business Practice Location Address Details
Address
204 S Main St
City
Rock Port
State
Missouri
Zip
64482-1532
Phone Number
660-744-5391
Fax Number
person
Provider Business Mailing Address Details
Address
204 S Main St
City
Rock Port
State
Missouri
Zip
64482-1532
Phone Number
660-744-5391
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
14169 (Missouri)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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