| Paul S. Mace D.d.s.,m.s.d.,p.c. | |
|
4585 Washington St Suite A-5 Florissant MO 63033-5858 | |
| (314) 839-4994 | |
| (314) 839-4613 |
| Full Name | Paul S. Mace D.d.s.,m.s.d.,p.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 4585 Washington St, Florissant, Missouri |
| Authorized Official Name and Position | Paul S Mace (OWNER) |
| Authorized Official Contact | 3148394994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul S. Mace D.d.s.,m.s.d.,p.c. 4585 Washington St Suite A-5 Florissant MO 63033-5858 Ph: (314) 839-4994 | Paul S. Mace D.d.s.,m.s.d.,p.c. 4585 Washington St Suite A-5 Florissant MO 63033-5858 Ph: (314) 839-4994 |
| NPI Number | 1417012683 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417012683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 12373 (Missouri) | Primary |
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