| St. Louis South Oral & Maxillofacial Surgery, Inc. | |
|
1155 E Gannon Dr Festus MO 63028-2611 | |
| (636) 931-4699 | |
| (636) 931-5110 |
| Full Name | St. Louis South Oral & Maxillofacial Surgery, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1155 E Gannon Dr, Festus, Missouri |
| Authorized Official Name and Position | Peggy S. Carothers (OFFICE MANAGER) |
| Authorized Official Contact | 3148424699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Louis South Oral & Maxillofacial Surgery, Inc. 1155 E Gannon Dr Festus MO 63028-2611 Ph: (636) 931-4699 | St. Louis South Oral & Maxillofacial Surgery, Inc. 1155 E Gannon Dr Festus MO 63028-2611 Ph: (636) 931-4699 |
| NPI Number | 1366657405 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366657405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 015277 (Missouri) | Primary |
Christopher Koechner Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1373 Ymca Dr, Festus, MO 63028 Phone: 636-937-6565 | |
Dr. Louis J. Ortmann Dental Group Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 W. Gannon Dr., Festus, MO 63028 Phone: 636-931-6870 Fax: 636-937-3227 | |
Endodontic Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1431 Us Highway 61 South, Festus, MO 63028 Phone: 636-933-7001 Fax: 636-933-7002 | |
John F. Empkey,d.d.s.,p.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 S Truman Blvd, Festus, MO 63028 Phone: 636-937-3870 Fax: 636-937-9241 | |
Smile For Life Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 860 S Truman Blvd, Festus, MO 63028 Phone: 636-937-6965 Fax: 636-937-8607 | |
Festus Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1518 Parkway W, Festus, MO 63028 Phone: 636-931-7766 Fax: 636-933-7714 |