| Terry Egan Dds Llc | |
|
12758 Boenker Ln Bridgeton MO 63044-2436 | |
| (314) 739-3300 | |
| Not Available |
| Full Name | Terry Egan Dds Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 12758 Boenker Ln, Bridgeton, Missouri |
| Authorized Official Name and Position | Terry R Egan (MANAGER) |
| Authorized Official Contact | 3147393300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Egan Dds Llc 15728 Trapp Ridge Ct Chesterfield MO 63017-8742 Ph: () - | Terry Egan Dds Llc 12758 Boenker Ln Bridgeton MO 63044-2436 Ph: (314) 739-3300 |
| NPI Number | 1558578187 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558578187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 014516 (Missouri) | Primary |
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