| O'fallon Dental Partnership, Barry Brace, Dmd And Associates, Llc | |
|
2940 Highway K O Fallon MO 63368-7861 | |
| (636) 978-7816 | |
| (636) 978-7947 |
| Full Name | O'fallon Dental Partnership, Barry Brace, Dmd And Associates, Llc |
|---|---|
| Speciality | Dentist |
| Location | 2940 Highway K, O Fallon, Missouri |
| Authorized Official Name and Position | Barry D. Brace (DENTIST/OWNER) |
| Authorized Official Contact | 3145406159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| O'fallon Dental Partnership, Barry Brace, Dmd And Associates, Llc 2990 Highway K O Fallon MO 63368-7861 Ph: (636) 978-7816 | O'fallon Dental Partnership, Barry Brace, Dmd And Associates, Llc 2940 Highway K O Fallon MO 63368-7861 Ph: (636) 978-7816 |
| NPI Number | 1518134238 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 09/20/2018 |
| Medicare PECOS PAC ID | 5991960684 |
|---|---|
| Medicare Enrollment ID | O20120702000384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518134238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 012409 (Missouri) | Primary |
| Provider Name | Barry D Brace |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073521225 PECOS PAC ID: 3072778760 Enrollment ID: I20120702000406 |
| Provider Name | Daniel I Bialecki |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891902656 PECOS PAC ID: 4981858701 Enrollment ID: I20130204000038 |
.dennis L. Schulze, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Highway K, O Fallon, MO 63368 Phone: 636-926-9221 Fax: 636-926-7209 | |
Dardenne Dental Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7124 S Outer 364, O Fallon, MO 63368 Phone: 636-978-4848 Fax: 636-978-4862 | |
Phoenix Village Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9210 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-1154 Fax: 636-625-0855 | |
Numpol Dejtiranukul Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4122 Keaton Crossing Blvd, Suite 101, O Fallon, MO 63368 Phone: 636-300-4280 | |
River City Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Church St, O Fallon, MO 63366 Phone: 636-362-4040 Fax: 636-362-4141 | |
Dr. Maryana Kirolos Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 E Elm St, O Fallon, MO 63366 Phone: 636-240-6858 Fax: 636-272-4278 | |
Mooney Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9018 Phoenix Pkwy, O Fallon, MO 63368 Phone: 636-970-4700 |