| Baxter Dental Group | |
|
133 Baxter Shops Manchester MO 63011-3800 | |
| (636) 227-9666 | |
| (636) 227-1159 |
| Full Name | Baxter Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 133 Baxter Shops, Manchester, Missouri |
| Authorized Official Name and Position | Thomas G Wehrmeister (OWNER) |
| Authorized Official Contact | 6362279666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baxter Dental Group 133 Baxter Shops Manchester MO 63011-3800 Ph: (636) 227-9666 | Baxter Dental Group 133 Baxter Shops Manchester MO 63011-3800 Ph: (636) 227-9666 |
| NPI Number | 1902945348 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902945348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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