| New Creation Dental Care, L.c. | |
|
15 Lakeside Dr Lake St Louis MO 63367-1378 | |
| (636) 625-1225 | |
| Not Available |
| Full Name | New Creation Dental Care, L.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15 Lakeside Dr, Lake St Louis, Missouri |
| Authorized Official Name and Position | Matthew Boscia (PRESIDENT) |
| Authorized Official Contact | 6366251225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Creation Dental Care, L.c. 15 Lakeside Dr Lake St Louis MO 63367-1378 Ph: (636) 625-1225 | New Creation Dental Care, L.c. 15 Lakeside Dr Lake St Louis MO 63367-1378 Ph: (636) 625-1225 |
| NPI Number | 1801010467 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801010467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2003013106 (Missouri) | Primary |
New Creation Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 Civic Center Dr, Lake St Louis, MO 63367 Phone: 636-561-6400 | |
Jack D. Griffin, Jr. D.m.d., Lake St. Louis, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Lake Saint Louis Blvd, Lake St Louis, MO 63367 Phone: 314-488-1201 | |
New Creation Center For Dental Sleep Medicine Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Lakeside Dr Ste A, Lake St Louis, MO 63367 Phone: 636-625-1225 Fax: 636-625-1228 |