Doherty Family Dental, Llc | |
8824 Litzsinger Rd Brentwood MO 63144-2222 | |
(314) 961-3221 | |
(314) 961-7477 |
Full Name | Doherty Family Dental, Llc |
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Speciality | Dentist - General Practice |
Location | 8824 Litzsinger Rd, Brentwood, Missouri |
Authorized Official Name and Position | Daniel Thomas Doherty (OWNER) |
Authorized Official Contact | 3145968974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Doherty Family Dental, Llc 8824 Litzsinger Rd Brentwood MO 63144-2222 Ph: (314) 961-3221 | Doherty Family Dental, Llc 8824 Litzsinger Rd Brentwood MO 63144-2222 Ph: (314) 961-3221 |
NPI Number | 1730776345 |
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Provider Enumeration Date | 12/29/2020 |
Last Update Date | 12/29/2020 |
Identifier | Type | State | Issuer |
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1730776345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Missouri College, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 S Hanley Rd, Brentwood, MO 63144 Phone: 314-768-7800 Fax: 314-768-7900 |