| St. Louis Orthodontic Group | |
|
#6 Mcbride And Son Corporate Center Drive Suite 200 Chesterfield MO 63005 | |
| (636) 532-5535 | |
| (636) 537-8499 |
| Full Name | St. Louis Orthodontic Group |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | #6 Mcbride And Son Corporate Center Drive, Chesterfield, Missouri |
| Authorized Official Name and Position | Richard Goldberg (PRESIDENT) |
| Authorized Official Contact | 6365325535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Louis Orthodontic Group #6 Mcbride And Son Corporate Center Drive Suite 200 Chesterfield MO 63005 Ph: (636) 532-5535 | St. Louis Orthodontic Group #6 Mcbride And Son Corporate Center Drive Suite 200 Chesterfield MO 63005 Ph: (636) 532-5535 |
| NPI Number | 1508022393 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508022393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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Towne Centre Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Chesterfield Towne Ctr, Chesterfield, MO 63005 Phone: 636-733-2363 | |
St Louis County Oral And Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 S Woods Mill Rd Ste 720n, Chesterfield, MO 63017 Phone: 314-434-0493 Fax: 314-434-7883 | |
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