| William G. Dewert, Dmd, Llc | |
|
12758 Boenker Ln Bridgeton MO 63044-2436 | |
| (314) 739-3300 | |
| Not Available |
| Full Name | William G. Dewert, Dmd, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12758 Boenker Ln, Bridgeton, Missouri |
| Authorized Official Name and Position | William G Dewert (MEMBER) |
| Authorized Official Contact | 3147393300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William G. Dewert, Dmd, Llc 12758 Boenker Ln Bridgeton MO 63044-2436 Ph: () - | William G. Dewert, Dmd, Llc 12758 Boenker Ln Bridgeton MO 63044-2436 Ph: (314) 739-3300 |
| NPI Number | 1457552697 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457552697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12134 (Missouri) | Primary |
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