Higginbotham Dental Group, Pllc

NPI #1366797953 in Kennett, Missouri

Provider Information

NPI Number
1366797953
Entity Type
Organization
Organization Name
Higginbotham Dental Group, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 19, 2012
Last Updated
Oct 14, 2020

Practice Location

Address
103 1ST ST
ZIP Code
63857-2051
Phone
(573) 888-9944

Authorized Official

Name
MISTI ROSS
Title
INS DIRECTOR
Phone
(870) 336-3732

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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