Jack Thomas Mccall D.D.S.

NPI 1629237763 - Dentist - 1223G0001X

NPI Details
NPI 1629237763
Gender Male
Enumeration Date 06/04/2008
Last Updated 11/11/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
812 S. 24TH ST.
BETHANY MO, 64424-1322, US
Phone (660) 425-3331
Fax
Business Location
812 S. 24TH ST.
BETHANY MO, 64424-1322, US
Phone (660) 425-3331
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Missouri
License Number 2008014150
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According to our database, Dr. Jack Thomas Mccall D.D.S. NPI is 1629237763, taxonomy code is 1223G0001X and license number is 2008014150, license state is located at Missouri. Jack Thomas Mccall D.D.S. physically located at 812 S. 24th St., Bethany MO, 64424-1322. NPI Number Jack Thomas Mccall D.D.S. has the Individual type.

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1629237763 NPI number is provided on an as is basis without warranty of any kind. 1629237763 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Thomas Mccall D.D.S. are for informational purposes only.