| Humphrey Orthodontics, Llc | |
|
1139 Wentzville Pkwy Wentzville MO 63385-3404 | |
| (636) 332-5550 | |
| Not Available |
| Full Name | Humphrey Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1139 Wentzville Pkwy, Wentzville, Missouri |
| Authorized Official Name and Position | Mark Humphrey (MANAGER) |
| Authorized Official Contact | 6367346896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humphrey Orthodontics, Llc 1139 Wentzville Pkwy Wentzville MO 63385-3404 Ph: (636) 332-5550 | Humphrey Orthodontics, Llc 1139 Wentzville Pkwy Wentzville MO 63385-3404 Ph: (636) 332-5550 |
| NPI Number | 1548708308 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 02/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548708308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2014016805 (Missouri) | Primary |
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