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809 So Lindbergh St Louis MO 63131 | |
| (314) 991-0103 | |
| (314) 991-5417 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 809 So Lindbergh, St Louis, Missouri |
| Authorized Official Name and Position | Doxey R Sheldon (PRES SECT TREAS) |
| Authorized Official Contact | 3149910103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
809 S Lindbergh St Louis MO 63131 Ph: () - | 809 So Lindbergh St Louis MO 63131 Ph: (314) 991-0103 |
| NPI Number | 1447315908 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447315908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | MO 13205 (Missouri) | Primary |
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