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Columbia Implants And Periodontics L.l.c.
Preferred Provider Organization in Columbia, Missouri
NPI 1710222476

Columbia Implants And Periodontics L.l.c. is a Preferred Provider Organization based in Columbia, MO. Columbia Implants And Periodontics L.l.c. practices in Columbia, MO. The NPI Number for Columbia Implants And Periodontics L.l.c. is 1710222476 and holds a License No. 2009035935 (Missouri).

The current practice location address for Columbia Implants And Periodontics L.l.c. is 201 W Broadway Ste 5A, Columbia, MO and can be reached out via phone at 573-443-0593. You can also correspond with Columbia Implants And Periodontics L.l.c. through the mailing address at 201 W BROADWAY STE 5A, COLUMBIA, MO - 65203-3842 (mailing address contact number: ).

Location: 201 W Broadway Ste 5A, Columbia, MO, 65203-3842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710222476
Provider Name
Columbia Implants And Periodontics L.l.c.
Credential
Provider Entity Type
Organization
Address
201 W Broadway Ste 5A, Columbia, MO, 65203-3842
Phone Number
573-443-0593
Fax Number
Provider Enumeration Date
12/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 W Broadway Ste 5A
City
Columbia
State
Missouri
Zip
65203-3842
Phone Number
573-443-0593
Fax Number
person
Provider Business Mailing Address Details
Address
201 W Broadway Ste 5A
City
Columbia
State
Missouri
Zip
65203-3842
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
2009035935 (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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