| Oral Surgery Associates Pc | |
|
16216 Baxter Rd Suite 250 Chesterfield MO 63017 | |
| (636) 532-3525 | |
| (636) 532-5782 |
| Full Name | Oral Surgery Associates Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 16216 Baxter Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Susan Ann Godwin (ORAL SURGEON) |
| Authorized Official Contact | 6365323525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Associates Pc 16216 Baxter Rd Suite 250 Chesterfield MO 63017 Ph: (636) 532-3525 | Oral Surgery Associates Pc 16216 Baxter Rd Suite 250 Chesterfield MO 63017 Ph: (636) 532-3525 |
| NPI Number | 1447359534 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 03/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447359534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 013223 (Missouri) | Primary |
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