| Oral Facial Surgery Institute | |
|
1585 Woodlake Dr Suite 208 Chesterfield MO 63017-5740 | |
| (314) 251-6725 | |
| Not Available |
| Full Name | Oral Facial Surgery Institute |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1585 Woodlake Dr, Chesterfield, Missouri |
| Authorized Official Name and Position | Michael V. Sarli (ADMINISTRATOR) |
| Authorized Official Contact | 3142516725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Facial Surgery Institute 1585 Woodlake Dr Suite 208 Chesterfield MO 63017-5740 Ph: (314) 878-6725 | Oral Facial Surgery Institute 1585 Woodlake Dr Suite 208 Chesterfield MO 63017-5740 Ph: (314) 251-6725 |
| NPI Number | 1275671109 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275671109 | NPI | - | NPPES |
| 1366557530 | Other | MO | NPI NUMBER |
| 1760558787 | Other | MO | DR. SUDEN'S NPI# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2005012885 (Missouri) | Primary |
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