- Dental Clinic in O'fallon, MO

is a dental clinic (Dentist - General Practice) in O'fallon, Missouri. The current practice location for is 1630 Market Center Blvd, O'fallon, Missouri. For appointments, you can reach them via phone at (636) 978-8895. The mailing address for is 1630 Market Center Blvd Ste 100, O Fallon, Missouri and phone number is (636) 300-4380.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1285777839. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (636) 978-8895.

Full Name
Speciality	Dentist - General Practice
Location	1630 Market Center Blvd, O'fallon, Missouri
Authorized Official Name and Position	Celia Hayes (CREDENTIALING COORDINATOR)
Authorized Official Contact	2175402100
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address	Practice Location Address
1630 Market Center Blvd Ste 100 O Fallon MO 63368-8407 Ph: (636) 300-4380	1630 Market Center Blvd O'fallon MO 63304 Ph: (636) 978-8895

NPI Number	1285777839
Provider Enumeration Date	02/14/2007
Last Update Date	03/10/2022

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285777839	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	(* (Not Available))	Secondary
1223G0001X	Dentist - General Practice	(* (Not Available))	Primary

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Dental Clinics in O'fallon, MO