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2992 Highway K Ste 133 O Fallon MO 63368-7861 | |
(636) 978-6967 | |
(636) 978-5905 |
Full Name | |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2992 Highway K, O Fallon, Missouri |
Authorized Official Name and Position | Lana S. Wisniewski (BUSINESS MANAGER) |
Authorized Official Contact | 6369786967 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5551 Winghaven Blvd. Ste. 210 O'fallon MO 63368 Ph: (636) 978-6967 | 2992 Highway K Ste 133 O Fallon MO 63368-7861 Ph: (636) 978-6967 |
NPI Number | 1336314079 |
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Provider Enumeration Date | 04/24/2008 |
Last Update Date | 06/28/2019 |
Identifier | Type | State | Issuer |
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1336314079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | 011813 (Missouri) | Primary |
.dennis L. Schulze, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Highway K, O Fallon, MO 63368 Phone: 636-926-9221 Fax: 636-926-7209 | |
Dardenne Dental Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7124 S Outer 364, O Fallon, MO 63368 Phone: 636-978-4848 Fax: 636-978-4862 | |
Numpol Dejtiranukul Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4122 Keaton Crossing Blvd, Suite 101, O Fallon, MO 63368 Phone: 636-300-4280 | |
River City Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Church St, O Fallon, MO 63366 Phone: 636-362-4040 Fax: 636-362-4141 | |