| Voyage03, Llc | |
|
472 Highway P O Fallon MO 63366-1591 | |
| (636) 431-8600 | |
| (636) 215-8296 |
| Full Name | Voyage03, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 472 Highway P, O Fallon, Missouri |
| Authorized Official Name and Position | Kim Jimenez (OFFICE MANAGER) |
| Authorized Official Contact | 6364318600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Voyage03, Llc 472 Highway P O Fallon MO 63366-1591 Ph: (636) 431-8600 | Voyage03, Llc 472 Highway P O Fallon MO 63366-1591 Ph: (636) 431-8600 |
| NPI Number | 1811773674 |
|---|---|
| Provider Enumeration Date | 09/06/2023 |
| Last Update Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811773674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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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 | |
Phoenix Village Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9210 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-1154 Fax: 636-625-0855 | |
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 | |
Dr. Maryana Kirolos Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 E Elm St, O Fallon, MO 63366 Phone: 636-240-6858 Fax: 636-272-4278 | |
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