| Actondentistry | |
|
1871 W Pearce Blvd Wentzville MO 63385-3302 | |
| (636) 327-5600 | |
| (636) 332-5601 |
| Full Name | Actondentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1871 W Pearce Blvd, Wentzville, Missouri |
| Authorized Official Name and Position | Matthew S Slaven (DENTIST/OWNER) |
| Authorized Official Contact | 6362265440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Actondentistry 1871 W Pearce Blvd Wentzville MO 63385-3302 Ph: (636) 327-5600 | Actondentistry 1871 W Pearce Blvd Wentzville MO 63385-3302 Ph: (636) 327-5600 |
| NPI Number | 1568831857 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 09/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568831857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2005014238 (Missouri) | Primary |
| 1223G0001X | Dentist - General Practice | 2008016064 (Missouri) | Secondary |
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