institution
Schaffer And Ditto Dds, Pc
Oral and Maxillofacial Surgery (Dentist) in Joplin, Missouri
NPI 1467693630

Schaffer And Ditto Dds, Pc is a Oral and Maxillofacial Surgery (Dentist) based in Joplin, MO and is specialized in Oral and Maxillofacial Surgery. Schaffer And Ditto Dds, Pc practices in Joplin, MO. The NPI Number for Schaffer And Ditto Dds, Pc is 1467693630 and holds a License No. 11810 (Missouri).

The current practice location address for Schaffer And Ditto Dds, Pc is 2602 Cunningham Ave, Joplin, MO and can be reached out via phone at 417-623-2000 and via fax at 417-623-7948.

Location: 2602 Cunningham Ave, Joplin, MO, 64804-1542
institution
Provider Profile Details
NPI Number
1467693630
Provider Name
Schaffer And Ditto Dds, Pc
Credential
Provider Entity Type
Organization
Address
2602 Cunningham Ave, Joplin, MO, 64804-1542
Phone Number
417-623-2000
Fax Number
417-623-7948
Provider Enumeration Date
03/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000748177 01 MO UNITED CONCORDIA PROVIDER #
000020211 01 MO MEDICARE PROVIDER #
29065 01 MO BLUE CROSS BLUE SHIELD PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2602 Cunningham Ave
City
State
Zip
64804-1542
Phone Number
417-623-2000
Fax Number
417-623-7948
person
Provider Business Mailing Address Details
Address
2602 Cunningham Ave
City
State
Zip
64804-1542
Phone Number
417-623-2000
Fax Number
417-623-7948
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
11810 (Missouri)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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