Shouman and Tegerdine Dentistry LLC

NPI #1194455691 in Columbia, Missouri

Provider Information

NPI Number: 1194455691
Entity Type: Organization
Organization Name: Shouman and Tegerdine Dentistry LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 16, 2022
Last Updated: Jun 16, 2022

Practice Location

Address: 2216 FORUM BLVD STE 104
City: Columbia
State: Missouri
ZIP Code: 65203-5409
Phone: (573) 449-0096

Authorized Official

Name: DR. RAMSEY O SHOUMAN, DDS
Title: MEMBER
Phone: (573) 449-0096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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