Premier Dental and Oral Health Group

NPI #1023090081 in Lake Ozark, Missouri

Provider Information

NPI Number
1023090081
Entity Type
Organization
Organization Name
Premier Dental and Oral Health Group
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 16, 2005
Last Updated
Aug 21, 2007

Practice Location

Address
24 N SHORE DR
ZIP Code
65049-7111
Phone
(573) 365-0220

Authorized Official

Name
RONALD ERIC MASSIE, DDS, FAGD
Title
PRESIDENT
Phone
(573) 365-0220

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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