Deere Dentistry

NPI #1912314378 in Portageville, Missouri

Provider Information

NPI Number: 1912314378
Entity Type: Organization
Organization Name: Deere Dentistry
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 17, 2014
Last Updated: Jul 17, 2014

Practice Location

Address: 205 E 4TH ST
City: Portageville
State: Missouri
ZIP Code: 63873-1464
Phone: (573) 379-5407

Authorized Official

Name: SHEILAH K DEERE
Title: OWNER/OFFICE MANAGER
Phone: (573) 379-5407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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