Premier Dental & Oral Health Group,p.c.
NPI #1184094880 in Lake Ozark, Missouri
Provider Information
- NPI Number
- 1184094880
- Entity Type
- Organization
- Organization Name
- Premier Dental & Oral Health Group,p.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PREMIER DENTAL & ORAL HEALTH GROUP,P.C.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Oct 7, 2015
- Last Updated
- Oct 7, 2015
Practice Location
- Address
- 24 N SHORE DR
- City
- Lake Ozark
- State
- Missouri
- ZIP Code
- 65049-7111
- Phone
- (573) 365-0220
Authorized Official
- Name
- DR. RONALD E MASSIE, DDS
- Title
- PRESIDENT/ OWNER
- Phone
- (573) 365-0220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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