| Northwest Plaza Dental | |
|
500 Northwest Plz Suite 524 Saint Ann MO 63074-2209 | |
| (314) 739-7900 | |
| Not Available |
| Full Name | Northwest Plaza Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500 Northwest Plz, Saint Ann, Missouri |
| Authorized Official Name and Position | Ali Badihi (OWNER) |
| Authorized Official Contact | 3147397900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Plaza Dental 500 Northwest Plz Suite 524 Saint Ann MO 63074-2209 Ph: (314) 739-7900 | Northwest Plaza Dental 500 Northwest Plz Suite 524 Saint Ann MO 63074-2209 Ph: (314) 739-7900 |
| NPI Number | 1063401172 |
|---|---|
| Provider Enumeration Date | 10/20/2005 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063401172 | NPI | - | NPPES |
| 407813310 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 015356 (Missouri) | Primary |
Kerin L. Burdette, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Northwest Plz, Suite 524, Saint Ann, MO 63074 Phone: 314-739-7900 | |
Joseph B Uelk Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3153 N Lindbergh Blvd, Saint Ann, MO 63074 Phone: 314-739-4100 |