| Edp Of Missouri Pc | |
|
677 N New Ballas Rd Ste 207 Creve Coeur MO 63141-6732 | |
| (314) 569-3141 | |
| Not Available |
| Full Name | Edp Of Missouri Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 677 N New Ballas Rd Ste 207, Creve Coeur, Missouri |
| Authorized Official Name and Position | Melissa Garibay (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3127368963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edp Of Missouri Pc 141 W Jackson Blvd Ste 210 Chicago IL 60604-3048 Ph: (312) 937-3619 | Edp Of Missouri Pc 677 N New Ballas Rd Ste 207 Creve Coeur MO 63141-6732 Ph: (314) 569-3141 |
| NPI Number | 1457867590 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 09/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457867590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | 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 | |
Creve Coeur Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11709 Old Ballas Rd, Ste 206, Creve Coeur, MO 63141 Phone: 314-567-3760 Fax: 314-567-3929 |