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1265 Graham Road Suite C Florissant MO 63031 | |
(314) 838-8762 | |
(314) 838-8802 |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1265 Graham Road, Florissant, Missouri |
Authorized Official Name and Position | Richard J White (OWNER) |
Authorized Official Contact | 6369789585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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103 O'fallon Commons Dr O'fallon MO 63368 Ph: (636) 978-9585 | 1265 Graham Road Suite C Florissant MO 63031 Ph: (314) 838-8762 |
NPI Number | 1265537443 |
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Provider Enumeration Date | 09/13/2006 |
Last Update Date | 12/02/2010 |
Identifier | Type | State | Issuer |
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1265537443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2001013486 (Missouri) | Primary |
Mann Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3115 N Highway 67, Florissant, MO 63033 Phone: 314-451-0001 | |
Smiles Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Rue Saint Francois St, Florissant, MO 63031 Phone: 314-838-1167 Fax: 314-838-0823 | |
Alexander Heatrice Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2855 N Highway 67, Florissant, MO 63033 Phone: 314-627-1953 Fax: 314-897-3385 | |