| Southampton Dental Llc | |
|
1501 Hampton Avenue St Louis MO 63139 | |
| (314) 647-2828 | |
| (314) 647-2793 |
| Full Name | Southampton Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1501 Hampton Avenue, St Louis, Missouri |
| Authorized Official Name and Position | Katherine Elizabeth Weyhaupt (PRACTICE MANAGER) |
| Authorized Official Contact | 3146472828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southampton Dental Llc 1501 Hampton Avenue St Louis MO 63139 Ph: (314) 647-2828 | Southampton Dental Llc 1501 Hampton Avenue St Louis MO 63139 Ph: (314) 647-2828 |
| NPI Number | 1285203265 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 06/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285203265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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