| Terry M. Trezek, Dmd, Llc | |
|
1630 Market Center Dr Suite 101 O Fallon MO 63368-8407 | |
| (636) 329-1254 | |
| (636) 329-1837 |
| Full Name | Terry M. Trezek, Dmd, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1630 Market Center Dr, O Fallon, Missouri |
| Authorized Official Name and Position | Terry Michael Trezek (OWNER) |
| Authorized Official Contact | 6363291254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry M. Trezek, Dmd, Llc 1630 Market Center Dr Suite 101 O Fallon MO 63368-8407 Ph: (636) 329-1254 | Terry M. Trezek, Dmd, Llc 1630 Market Center Dr Suite 101 O Fallon MO 63368-8407 Ph: (636) 329-1254 |
| NPI Number | 1881041713 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 05/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881041713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2000161566 (Missouri) | Primary |
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