1043622368 INNOVATIVE DENTAL
Preferred Provider Organization
Active
Basic Information
- Organization Name
- INNOVATIVE DENTAL
- Enumeration Date
- May 21, 2014
- Last Update
- May 21, 2014
- Authorized Official
- GRANT B OLSON DDS
PRESIDENT/OWNER
Phone: (417) 889-4746
Practice Location
- Address
- 3424 S CULPEPPER CT
SPRINGFIELD, MO 658043755 - Phone
- (417) 889-4746
Mailing Address
- Address
- 3424 S CULPEPPER CT
SPRINGFIELD, MO 658043755 - Phone
- (417) 889-4746
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | Preferred Provider Organization | 2011016216 | MO | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3424 | 01 | N/A | DENTAL OFFICE |
Frequently Asked Questions
What is INNOVATIVE DENTAL's NPI number?
INNOVATIVE DENTAL's NPI number is 1043622368.
Which doctor has NPI number 1043622368?
The doctor with NPI number 1043622368 is INNOVATIVE DENTAL.
What is INNOVATIVE DENTAL's practice address?
INNOVATIVE DENTAL's practice address is 3424 S CULPEPPER CT, SPRINGFIELD, MO, 658043755.
Which doctor practices at 3424 S CULPEPPER CT, SPRINGFIELD, MO, 658043755?
INNOVATIVE DENTAL practices at 3424 S CULPEPPER CT, SPRINGFIELD, MO, 658043755.
What is INNOVATIVE DENTAL's phone number?
INNOVATIVE DENTAL's phone number is (417) 889-4746.
Who is (417) 889-4746?
(417) 889-4746 is the phone number for INNOVATIVE DENTAL.
What is INNOVATIVE DENTAL's specialty?
INNOVATIVE DENTAL's specialty is Preferred Provider Organization.
What type of doctor is INNOVATIVE DENTAL?
INNOVATIVE DENTAL is a Preferred Provider Organization.
Is INNOVATIVE DENTAL a Preferred Provider Organization?
Yes, INNOVATIVE DENTAL is a Preferred Provider Organization.
Is INNOVATIVE DENTAL still practicing?
Yes, INNOVATIVE DENTAL is currently practicing.
Is INNOVATIVE DENTAL accepting new patients?
INNOVATIVE DENTAL may be accepting new patients. Please call their office at (417) 889-4746 to inquire about availability.
Is NPI 1043622368 still active?
Yes, NPI 1043622368 is currently active.
Where does INNOVATIVE DENTAL practice?
INNOVATIVE DENTAL practices in SPRINGFIELD, MO.