Jody Brian Vance in Springfield - Periodontics

Jody Brian Vance - NPI 1346373347

Jody Brian Vance is a Periodontics in Springfield, Missouri. Jody Brian Vance practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jody Brian Vance is 1346373347. The last update date is 2007-07-08.

Jody Brian Vance's current location address is 3331 E Montclair St Ste G, Springfield, Missouri. You can contact this provider via phone number 4178895297 and fax number 4178896462. The mailing address for Jody Brian Vance is 3331 E Montclair St Ste G, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jody Brian Vance
Address 3331 E Montclair St Ste G, Springfield, Missouri
Phone Number 4178895297
Fax Number 4178896462
Sole Proprietor Y
Credentials D.D.S, M.S

NPI Number Detail

NPI Number 1346373347
Provider Enumeration Date 2007-03-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3331 E Montclair St Ste G
City Springfield
State Missouri (MO)
Post Code 658044786
Phone Number 4178895297
Fax Number 4178896462

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 15623
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Jody Brian Vance

What is the Jody Brian Vance's 1346373347?

The Jody Brian Vance's NPI (National Provider Identifier) Number is 1346373347. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jody Brian Vance is geographically located?

The Jody Brian Vance is physically situated at the following location: 3331 E Montclair St Ste G, Springfield, MO, 658044786.

What is Jody Brian Vance's area of expertise and its corresponding taxonomy classification?

The Jody Brian Vance's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1346373347 to Jody Brian Vance?

The Centers for Medicare & Medicaid Services assigned the 1346373347 to Jody Brian Vance on 2007-03-13.

When was the information regarding Jody Brian Vance most recently updated?

The details pertaining to the Jody Brian Vance, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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