Todd Wind Dds Dba Pevely Family Dentistry | |
8646 Commercial Blvd Pevely MO 63070 | |
(636) 475-7161 | |
(636) 479-6127 |
Full Name | Todd Wind Dds Dba Pevely Family Dentistry |
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Speciality | Dentist |
Location | 8646 Commercial Blvd, Pevely, Missouri |
Authorized Official Name and Position | Todd J Wind (OWNER) |
Authorized Official Contact | 6364757161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Todd Wind Dds Dba Pevely Family Dentistry 8646 Commercial Blvd Pevely MO 63070-1529 Ph: (636) 475-7161 | Todd Wind Dds Dba Pevely Family Dentistry 8646 Commercial Blvd Pevely MO 63070 Ph: (636) 475-7161 |
NPI Number | 1548702780 |
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Provider Enumeration Date | 11/04/2016 |
Last Update Date | 11/04/2016 |
Identifier | Type | State | Issuer |
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1548702780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2001011238 (Missouri) | Primary |
John C Druhe Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 Gannon's Square, Pevely, MO 63070 Phone: 636-475-7161 Fax: 636-479-6127 |