Nevada Family Dentistry LLC

NPI #1144469370 in Nevada, Missouri

Provider Information

NPI Number
1144469370
Entity Type
Organization
Organization Name
Nevada Family Dentistry LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 11, 2009
Last Updated
Feb 11, 2009

Practice Location

Address
402 E WALNUT ST
City
Nevada
ZIP Code
64772-2458
Phone
(417) 667-3006

Authorized Official

Name
DR. ROBERT STEPHEN LONG, DDS
Title
MEMBER
Phone
(417) 667-3006

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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