Hannibal Dental Group

NPI #1699745935 in Hannibal, Missouri

Provider Information

NPI Number: 1699745935
Entity Type: Organization
Organization Name: Hannibal Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2727 SAINT MARYS AVE
City: Hannibal
State: Missouri
ZIP Code: 63401-3774
Phone: (573) 221-1227

Authorized Official

Name: MRS. VICKI L LUEBRECHT
Title: OFFICE MANAGER
Phone: (573) 221-1227

Specialties & Taxonomy Codes

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

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