Dental Care of Nixa

NPI #1386819605 in Nixa, Missouri

Provider Information

NPI Number
1386819605
Entity Type
Organization
Organization Name
Dental Care of Nixa
Primary Specialty
Dentist
Enumeration Date
Apr 28, 2008
Last Updated
Apr 28, 2008

Practice Location

Address
600 MCCROSKEY ST
City
Nixa
ZIP Code
65714-9408
Phone
(417) 725-3108

Authorized Official

Name
DR. JOSEPH R. KOFRON, D.D.S.
Title
OWNER
Phone
(417) 725-9108

Specialties & Taxonomy Codes

Specialty
Dentist

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Organizations

Provider Name
Nixa Dental Partners, LLC

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