| Rediger Orthodontics | |
|
1010 N Truman Blvd Crystal City MO 63019-1331 | |
| (636) 937-1441 | |
| (636) 937-3768 |
| Full Name | Rediger Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1010 N Truman Blvd, Crystal City, Missouri |
| Authorized Official Name and Position | Laurie A Gerber (PRACTICE MANAGER) |
| Authorized Official Contact | 6362820550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rediger Orthodontics 3876 Vogel Rd Arnold MO 63010-3776 Ph: (636) 282-0550 | Rediger Orthodontics 1010 N Truman Blvd Crystal City MO 63019-1331 Ph: (636) 937-1441 |
| NPI Number | 1730357195 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 02/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730357195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Nikodem Dental Holdings, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2380 N Truman Blvd, Crystal City, MO 63019 Phone: 636-937-9193 |