| Chesterfield Woodlake Dental And Prosthodontics | |
|
14377 Woodlake Dr Ste 206 Chesterfield MO 63017-5735 | |
| (314) 878-8880 | |
| (314) 658-9940 |
| Full Name | Chesterfield Woodlake Dental And Prosthodontics |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 14377 Woodlake Dr Ste 206, Chesterfield, Missouri |
| Authorized Official Name and Position | Paul Douglas Edgerley (PROSTHODONTIST/DENTIST) |
| Authorized Official Contact | 3148788880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesterfield Woodlake Dental And Prosthodontics 14377 Woodlake Dr Ste 206 Chesterfield MO 63017-5735 Ph: (314) 878-8880 | Chesterfield Woodlake Dental And Prosthodontics 14377 Woodlake Dr Ste 206 Chesterfield MO 63017-5735 Ph: (314) 878-8880 |
| NPI Number | 1598357923 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598357923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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Faye E Licata Dmd Fagd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Hilltown Village Center, Suite #200, Chesterfield, MO 63017 Phone: 636-532-2101 Fax: 636-532-2209 | |
Bruening Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14377 Woodlake Dr Ste 206, Chesterfield, MO 63017 Phone: 314-878-8880 | |
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St Louis County Oral And Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 S Woods Mill Rd Ste 720n, Chesterfield, MO 63017 Phone: 314-434-0493 Fax: 314-434-7883 | |
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