Dr. Kenneth Colbert DDS INC

NPI #1174057178 in Steelville, Missouri

Provider Information

NPI Number: 1174057178
Entity Type: Organization
Organization Name: Dr. Kenneth Colbert DDS INC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 17, 2017
Last Updated: Apr 17, 2017

Practice Location

Address: PO BOX AQ
Address 2: 204 W MAIN ST
City: Steelville
State: Missouri
ZIP Code: 65565-0609
Phone: (573) 775-2636

Authorized Official

Name: KENNETH COLBERT
Title: PRESIDENT
Phone: (573) 775-2636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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