Ads Osage Beach LP
Organization Active NPI Dental Clinic/Center · Osage Beach, MO
NPI 1144095100 · NPPES record last updated Nov 20, 2023
Key facts
- NPI
- 1144095100
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- ADS OSAGE BEACH LP
- Practice address
- 4320 Osage Beach Pkwy
Osage Beach, MO 65065-2199 - Phone
- (573) 348-1466
- NPI assigned
- Nov 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Kari A Hicks
- Title
- Managing Director
- Phone
- (417) 501-1082
Practitioners 1
-
Philip Hyun Son, DMD
National Provider Directory
Locations
4320 Osage Beach Pkwy
Osage Beach, MO 65065
Phone (323) 787-9397
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
4320 Osage Beach Pkwy
Osage Beach, MO 65065-2199
Mailing address
PO Box 2933
Springfield, MO 65801-2933
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All providers in Osage Beach, MO · Dental Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.