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Dr. Joseph Leo Waldvogel, DDS
General Practice Dentistry in Poplar Bluff, Missouri
NPI 1871780262

Joseph Leo Waldvogel is a General Practice Dentistry based in Poplar Bluff, MO and is specialized in General Practice. Joseph Leo Waldvogel practices in Poplar Bluff, MO and has the professional credentials of DDS. The NPI Number for Joseph Leo Waldvogel is 1871780262 and holds a License No. 019-016659 (Missouri).

The current practice location address for Joseph Leo Waldvogel is 1500 N Westwood Blvd, Poplar Bluff, MO and can be reached out via phone at 573-686-4151.

Location: 1500 N Westwood Blvd, Poplar Bluff, MO, 63901-3318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871780262
Provider Name
Joseph Leo Waldvogel
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1500 N Westwood Blvd, Poplar Bluff, MO, 63901-3318
Phone Number
573-686-4151
Fax Number
Provider Enumeration Date
09/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12 01 IL DENTAL PROVIDER
institution
Provider Business Practice Location Address Details
Address
1500 N Westwood Blvd
City
Poplar Bluff
State
Missouri
Zip
63901-3318
Phone Number
573-686-4151
Fax Number
person
Provider Business Mailing Address Details
Address
1500 N Westwood Blvd
City
Poplar Bluff
State
Missouri
Zip
63901-3318
Phone Number
573-686-4151
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019-016659 (Illinois)
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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