Plaza Dental Implant & Surgical Center, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

010435 Issued in MO

Legal business name

PLAZA DENTAL IMPLANT & SURGICAL CENTER, LLC

Practice address

303 N Keene St
Suite 209
Columbia, MO 65201-7193

Phone

(573) 817-2220

Fax

(573) 817-2808

NPI assigned

Aug 16, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Walter Pfitzinger, DDS

Title

Owner

Phone

(573) 817-2220

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1063760460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N KEENE ST",
            "address_2": "SUITE 209",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017193",
            "telephone_number": "573-817-2220",
            "fax_number": "573-817-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N KEENE ST",
            "address_2": "SUITE 209",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017193",
            "telephone_number": "573-817-2220",
            "fax_number": "573-817-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA DENTAL IMPLANT & SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "PFITZINGER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-817-2220",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "010435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Plaster, RN
• Plastic and Reconstructive Surgery of Mid-Missouri, Inc
• Platinum Homecare
• Jeffrey L Platz, MSW, LCSW
• Plaza Dental Group LLC
• Deanna S Pledge, PH.D.
• Aubrey Plemmons
• Allison Plogher, RBT
• Trudy-Ann Nicolle Plummer, MD
• Sarah Plymire, MS, RD

• Dentist in Columbia, MO
• Providers in Columbia, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.