Minehart, Laura

Minehart, Laura is an individual health care provider with primary practice located at 440 E Tampa St , Springfield MO 65806-1131. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Minehart, Laura can be contacted via phone (417) 851-1551.

Contact Information

Primary practice address
440 E Tampa St Springfield MO 65806-1131
Phone: (417) 851-1551
Fax: (417) 865-3479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2021017789 Missouri

Profile Details

NPI number 1952574113
LBN Legal business name Minehart, Laura
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Jun 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952574113 NPPES
Missouri MEDICAID 400095795

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