|
| |
|
810 Ofallon Rd Ste 80 Weldon Spring MO 63304-8107 | |
| (636) 244-4052 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 810 Ofallon Rd Ste 80, Weldon Spring, Missouri |
| Authorized Official Name and Position | Ashly Kristine Sunshine (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3144132803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1422 Elbridge Payne Rd, Ste 240 Chesterfield MO 63017 Ph: () - | 810 Ofallon Rd Ste 80 Weldon Spring MO 63304-8107 Ph: (636) 244-4052 |
| NPI Number | 1427550078 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427550078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2000164557 (Missouri) | Primary |
Shannon Ankenbrandt,dds,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1041 Wolfrum Rd, Weldon Spring, MO 63304 Phone: 636-300-4545 Fax: 636-329-0244 | |
Dynasty Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Ofallon Rd, Ste 70, Weldon Spring, MO 63304 Phone: 636-699-9815 | |
Soh Of Missouri Samson Liu Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Ofallon Rd Ste 70, Weldon Spring, MO 63304 Phone: 636-244-4052 |