| South St. Louis Dental Group | |
|
6451 Chippewa St Suite A Saint Louis MO 63109-2104 | |
| (314) 752-7468 | |
| (314) 752-5168 |
| Full Name | South St. Louis Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6451 Chippewa St, Saint Louis, Missouri |
| Authorized Official Name and Position | Lester C Joern (PRESIDENT) |
| Authorized Official Contact | 3147527468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South St. Louis Dental Group 6451 Chippewa St Suite A Saint Louis MO 63109-2104 Ph: (314) 752-7468 | South St. Louis Dental Group 6451 Chippewa St Suite A Saint Louis MO 63109-2104 Ph: (314) 752-7468 |
| NPI Number | 1720075005 |
|---|---|
| Provider Enumeration Date | 10/03/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720075005 | NPI | - | NPPES |
| V12510 | Other | MO | BCBS - TEXAS |
| 15138 | Other | MO | BCBS - MO |
| 519832 | Other | MO | WITH UNITED CONCORDIA |
| 014487 | Other | MO | AETNA DMO |
| 103333 | Other | MO | CIGNA DHMO |
| CBAR1 | Other | MO | BCBS - ARKANSAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12510 (Missouri) | Primary |
Joseph And Nina Zeigler, D.m.d.s, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2821 N Ballas Rd, Suite 200, Saint Louis, MO 63131 Phone: 314-872-7590 | |
Jason L Allen Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5147 Daggett Ave, Saint Louis, MO 63110 Phone: 314-776-7800 | |
Deborah Long Coon Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Francis Pl, Ste 302, Saint Louis, MO 63105 Phone: 314-726-5553 Fax: 314-726-6663 | |
Missouri Dental Professionals, Richard Straus, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1544 Sierra Vista Plz, Saint Louis, MO 63138 Phone: 314-355-5700 | |
Garden Heights Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 S Big Bend Blvd, Saint Louis, MO 63117 Phone: 314-645-1225 | |
Carestl Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Pope Ave, Saint Louis, MO 63115 Phone: 314-385-3990 Fax: 314-389-2464 | |
Thomas Kennedy, Dds Of Missouri Ii, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9960 Kennerly Rd Ste B, Saint Louis, MO 63128 Phone: 314-849-2760 |