| Oral Facial Surgery Institute | |
|
60 East North Street Eureka MO 63025 | |
| (314) 251-6725 | |
| (314) 251-6726 |
| Full Name | Oral Facial Surgery Institute |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 60 East North Street, Eureka, Missouri |
| Authorized Official Name and Position | Scott Edward Graham (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 60 East North Street Eureka MO 63025 Ph: (314) 251-6725 | Oral Facial Surgery Institute 60 East North Street Eureka MO 63025 Ph: (314) 251-6725 |
| NPI Number | 1356508758 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356508758 | NPI | - | NPPES |
| 1083817142 | Other | MO | NPI NUMBER FOR MAKEPEACE B. CHARLES, DDS |
| 1760558787 | Other | MO | NPI NUMBER FOR MICHAEL E. SUDEN, DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Missouri) | Primary |
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