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Access Dental Services LP

Organization Active NPI General Practice Dentistry · Rolla, MO

NPI 1215241005 · NPPES record last updated Jan 8, 2025

Key facts

NPI
1215241005
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
2006012741 (MO)
Legal business name
ACCESS DENTAL SERVICES LP
Practice address
1070 S Bishop Ave
Unit B
Rolla, MO 65401
Phone
(573) 426-5447
Fax
(573) 426-5659
NPI assigned
Aug 4, 2010
Organization subpart
No

Authorized official

Name
Mrs. Kari A Hicks
Title
Managing Director
Phone
(417) 501-1082

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Family Dental Clinic (8 organizations share this tax ID)

Locations

416 S Bishop Ave
Rolla, MO 65401
Phone (573) 426-5447

1070 S Bishop Ave
Ste B
Rolla, MO 65401
Phone (573) 426-5447

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X 2006012741 MO Yes

Addresses

Primary practice location

1070 S Bishop Ave
Unit B
Rolla, MO 65401

Mailing address

PO Box 2933
Springfield, MO 65801-2933
Phone (417) 501-1082

Other identifiers

IdentifierTypeStateIssuer
100617150314027MedicaidMO
504350307MedicaidMO

Other names

  • Access Dental, Dentures & Implants Doing business as

Other providers in Rolla, MO

All providers in Rolla, MO · General Practice Dentistry in Missouri

Sources for this page

Verify at the official NPI Registry.