DR. Teal Twaddle, DDS

NPI #1861877599 in Osage Beach, Missouri

Provider Information

NPI Number: 1861877599
Entity Type: Individual
Name: DR. Teal Twaddle, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 23, 2015
Last Updated: Aug 4, 2020

Practice Location

Address: 5816 OSAGE BEACH PKWY STE 107
City: Osage Beach
State: Missouri
ZIP Code: 65065-3065
Phone: (573) 693-9017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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