Provider Demographics
NPI:1790354603
Name:ASSOCIATES OF DENTISTRY, LLC
Entity Type:Organization
Organization Name:ASSOCIATES OF DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCGINTY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:417-781-6800
Mailing Address - Street 1:410 S PEARL AVE
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64801-2541
Mailing Address - Country:US
Mailing Address - Phone:417-781-6800
Mailing Address - Fax:
Practice Address - Street 1:410 S PEARL AVE
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64801-2541
Practice Address - Country:US
Practice Address - Phone:417-781-6800
Practice Address - Fax:417-781-6801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental