Oral Medicine Associates | |
777 S New Ballas Rd Suite 225w St Louis MD 63141-8708 | |
(314) 567-5556 | |
(314) 995-6077 |
Full Name | Oral Medicine Associates |
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Speciality | Dentist |
Location | 777 S New Ballas Rd, St Louis, Maryland |
Authorized Official Name and Position | Gregory M Studt (OWNER DENTIST) |
Authorized Official Contact | 3145675556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oral Medicine Associates 777 S New Ballas Rd Suite 225w St Louis MD 63141-8708 Ph: (314) 567-5556 | Oral Medicine Associates 777 S New Ballas Rd Suite 225w St Louis MD 63141-8708 Ph: (314) 567-5556 |
NPI Number | 1134326077 |
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Provider Enumeration Date | 07/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1134326077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 16076 (Missouri) | Primary |
122300000X | Dentist | 10733 (Missouri) | Primary |