| Midwest Smiles | |
|
4169 N Us Highway 67 Florissant MO 63034-2825 | |
| (314) 653-1200 | |
| (314) 653-6538 |
| Full Name | Midwest Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4169 N Us Highway 67, Florissant, Missouri |
| Authorized Official Name and Position | Kenneth L Ausmer (PRESIDENT) |
| Authorized Official Contact | 3146531200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Smiles 4169 N Us Highway 67 Florissant MO 63034-2825 Ph: (314) 653-1200 | Midwest Smiles 4169 N Us Highway 67 Florissant MO 63034-2825 Ph: (314) 653-1200 |
| NPI Number | 1649489113 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649489113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 015564 (Missouri) | Primary |
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