| Lakeside Dental | |
|
3090 Winghaven Blvd O Fallon MO 63368 | |
| (636) 561-0800 | |
| (636) 625-0088 |
| Full Name | Lakeside Dental |
|---|---|
| Speciality | Dentist |
| Location | 3090 Winghaven Blvd, O Fallon, Missouri |
| Authorized Official Name and Position | Sherri Lynn Poettker (DENTIST OWNER) |
| Authorized Official Contact | 6365610800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Dental 3090 Winghaven Blvd O Fallon MO 63368 Ph: (636) 561-0800 | Lakeside Dental 3090 Winghaven Blvd O Fallon MO 63368 Ph: (636) 561-0800 |
| NPI Number | 1144426214 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144426214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2003000402 (Missouri) | Primary |
.dennis L. Schulze, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Highway K, O Fallon, MO 63368 Phone: 636-926-9221 Fax: 636-926-7209 | |
Dardenne Dental Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7124 S Outer 364, O Fallon, MO 63368 Phone: 636-978-4848 Fax: 636-978-4862 | |
Phoenix Village Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9210 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-1154 Fax: 636-625-0855 | |
Numpol Dejtiranukul Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4122 Keaton Crossing Blvd, Suite 101, O Fallon, MO 63368 Phone: 636-300-4280 | |
River City Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Church St, O Fallon, MO 63366 Phone: 636-362-4040 Fax: 636-362-4141 | |
Dr. Maryana Kirolos Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 E Elm St, O Fallon, MO 63366 Phone: 636-240-6858 Fax: 636-272-4278 | |
Mooney Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9018 Phoenix Pkwy, O Fallon, MO 63368 Phone: 636-970-4700 |