| Mcleod Periodontics | |
|
5992 Howdershell Rd Suite 204 Hazelwood MO 63042-4107 | |
| (314) 731-1700 | |
| (314) 731-1784 |
| Full Name | Mcleod Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5992 Howdershell Rd, Hazelwood, Missouri |
| Authorized Official Name and Position | Dwight E. Mcleod (OWNER) |
| Authorized Official Contact | 3147311700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcleod Periodontics 5992 Howdershell Rd. Suite 204 Hazelwood MISSOURI 63042 Ph: () - | Mcleod Periodontics 5992 Howdershell Rd Suite 204 Hazelwood MO 63042-4107 Ph: (314) 731-1700 |
| NPI Number | 1154576890 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 11/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154576890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 015787 (Missouri) | Primary |
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