| Creve Coeur Periodontics | |
|
11709 Old Ballas Rd Ste 206 Creve Coeur MO 63141-7029 | |
| (314) 567-3760 | |
| (314) 567-3929 |
| Full Name | Creve Coeur Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 11709 Old Ballas Rd, Creve Coeur, Missouri |
| Authorized Official Name and Position | Ryan Lee Rader (OWNER) |
| Authorized Official Contact | 3145673760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creve Coeur Periodontics 11709 Old Ballas Rd Ste 206 Creve Coeur MO 63141-7029 Ph: (314) 567-3760 | Creve Coeur Periodontics 11709 Old Ballas Rd Ste 206 Creve Coeur MO 63141-7029 Ph: (314) 567-3760 |
| NPI Number | 1255759197 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255759197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2006016236 (Missouri) | Primary |
Lori K Holcomb Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12611 Olive St, Creve Coeur, MO 63141 Phone: 314-514-0660 Fax: 314-514-0601 | |
Rss William Schluter Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11770 Olive Blvd, Creve Coeur, MO 63141 Phone: 314-824-0701 | |
Dr. Brandon Kratz Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11710 Old Ballas Rd Ste 100, Creve Coeur, MO 63141 Phone: 314-991-1400 | |
Creve Coeur Periodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11709 Old Ballas Rd, Suite 206, Creve Coeur, MO 63141 Phone: 314-567-3760 Fax: 314-567-3929 | |
Oral And Maxillofacial Surgeons Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 249, Creve Coeur, MO 63141 Phone: 314-569-2201 Fax: 314-569-2320 | |
Michael J. O'connell, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 N New Ballas Rd, Creve Coeur, MO 63141 Phone: 314-567-1600 Fax: 314-567-7902 |