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Search › Missouri › 122300000X

Teal Twaddle, DDS

NPI 1861877599 · on the registry since 2015 · sole proprietor

Practice

Address
5816 Osage Beach Pkwy Ste 107
Osage Beach, MO 65065
Phone
(573) 693-9017
Organisation at this address
Hy-Vee Inc
Mytime Senior Day Stay, Llc
Jefferson City Medical Group, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
1223G0001X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri