| Greater St Louis Oral & Maxillofacial Surgery Pc | |
|
1034 S Brentwood Blvd Suite 1010 Saint Louis MO 63117-1223 | |
| (314) 721-1010 | |
| (314) 721-5276 |
| Full Name | Greater St Louis Oral & Maxillofacial Surgery Pc |
|---|---|
| Speciality | Dentist |
| Location | 1034 S Brentwood Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | John R Monterubio (PRESIDENT) |
| Authorized Official Contact | 3147211010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater St Louis Oral & Maxillofacial Surgery Pc 1034 S Brentwood Blvd Suite 1010 Saint Louis MO 63117-1223 Ph: (314) 721-1010 | Greater St Louis Oral & Maxillofacial Surgery Pc 1034 S Brentwood Blvd Suite 1010 Saint Louis MO 63117-1223 Ph: (314) 721-1010 |
| NPI Number | 1518158989 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 02/12/2020 |
| Medicare PECOS PAC ID | 4981893823 |
|---|---|
| Medicare Enrollment ID | O20110107000948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518158989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Frank R Newman |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1548454085 PECOS PAC ID: 2860577079 Enrollment ID: I20080312000470 |
| Provider Name | John R Monterubio |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1225147853 PECOS PAC ID: 5698964542 Enrollment ID: I20110110000031 |
| Provider Name | Eugenio G Herbosa |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1063593838 PECOS PAC ID: 8224227178 Enrollment ID: I20110110000054 |
| Provider Name | Alexander Heatrice |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1790078574 PECOS PAC ID: 8325458011 Enrollment ID: I20201109002146 |
| Provider Name | Zachariah W Cole |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1639605413 PECOS PAC ID: 3072846922 Enrollment ID: I20230727002013 |
Joseph And Nina Zeigler, D.m.d.s, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2821 N Ballas Rd, Suite 200, Saint Louis, MO 63131 Phone: 314-872-7590 | |
Jason L Allen Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5147 Daggett Ave, Saint Louis, MO 63110 Phone: 314-776-7800 | |
Deborah Long Coon Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Francis Pl, Ste 302, Saint Louis, MO 63105 Phone: 314-726-5553 Fax: 314-726-6663 | |
Missouri Dental Professionals, Richard Straus, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1544 Sierra Vista Plz, Saint Louis, MO 63138 Phone: 314-355-5700 | |
Garden Heights Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 S Big Bend Blvd, Saint Louis, MO 63117 Phone: 314-645-1225 | |
Carestl Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Pope Ave, Saint Louis, MO 63115 Phone: 314-385-3990 Fax: 314-389-2464 | |
Thomas Kennedy, Dds Of Missouri Ii, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9960 Kennerly Rd Ste B, Saint Louis, MO 63128 Phone: 314-849-2760 |