West Edgewood Dental Small Smiles, LLC
West Edgewood Dental Small Smiles, LLC provides General Practice Dentistry in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3306 Emerald LnJefferson City, MO 65109-6877
Phone: (573) 638-3897
Fax: (573) 761-0515
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 12095 (MO) |
|---|
Record details
| NPI number | 1982827465 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randy Burrow — Operations Manager · (573) 638-3897 |
| NPI enumerated | April 11, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 3306 Emerald Ln, Jefferson City, MO 65109-6877 |
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