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Bolivar Smiles Dentistry, Llc
General Practice Dentistry in Bolivar, Missouri
NPI 1811622525

Bolivar Smiles Dentistry, Llc is a General Practice Dentistry based in Bolivar, MO and is specialized in General Practice. Bolivar Smiles Dentistry, Llc practices in Bolivar, MO. The NPI Number for Bolivar Smiles Dentistry, Llc is 1811622525 and holds a License No. (Missouri).

The current practice location address for Bolivar Smiles Dentistry, Llc is 1300 N Oakland Ave Ste B, Bolivar, MO and can be reached out via phone at 417-326-6061 and via fax at 417-326-3537.

Location: 1300 N Oakland Ave Ste B, Bolivar, MO, 65613-3008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811622525
Provider Name
Bolivar Smiles Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
1300 N Oakland Ave Ste B, Bolivar, MO, 65613-3008
Phone Number
417-326-6061
Fax Number
417-326-3537
Provider Enumeration Date
07/18/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14888370 01 CAQH NUMBER
2009015933 01 MO STATE LINCENSE
institution
Provider Business Practice Location Address Details
Address
1300 N Oakland Ave Ste B
City
Bolivar
State
Missouri
Zip
65613-3008
Phone Number
417-326-6061
Fax Number
417-326-3537
person
Provider Business Mailing Address Details
Address
1300 N Oakland Ave Ste B
City
Bolivar
State
Missouri
Zip
65613-3008
Phone Number
417-326-6061
Fax Number
417-326-3537
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
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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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