Odessa Family Dental, LLC

NPI #1013881101 in Odessa, Missouri

Provider Information

NPI Number
1013881101
Entity Type
Organization
Organization Name
Odessa Family Dental, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 1, 2025
Last Updated
Oct 1, 2025

Practice Location

Address
404 N 4TH ST
City
Odessa
ZIP Code
64076-1152
Phone
(816) 633-5393

Authorized Official

Name
CHAD HENDRICKS
Title
CREDENTIALING
Phone
(612) 859-0444

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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