| St. Louis Pediatric Dentistry | |
|
1755 Clarkson Rd Chesterfield MO 63017-4979 | |
| (636) 778-2333 | |
| Not Available |
| Full Name | St. Louis Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1755 Clarkson Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Lindsey C Reed (CO-OWNER/ PEDIATRIC DENTIST) |
| Authorized Official Contact | 6367782333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Louis Pediatric Dentistry 1755 Clarkson Rd Chesterfield MO 63017-4979 Ph: (636) 778-2333 | St. Louis Pediatric Dentistry 1755 Clarkson Rd Chesterfield MO 63017-4979 Ph: (636) 778-2333 |
| NPI Number | 1083035158 |
|---|---|
| Provider Enumeration Date | 12/17/2013 |
| Last Update Date | 12/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083035158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2010006281 (Missouri) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 2008015941 (Missouri) | Secondary |
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