Barry D Brace, DMD | |
469 S Kirkwood Rd, Kirkwood, MO 63122-6119 | |
(314) 965-6503 | |
(314) 965-7417 |
Full Name | Barry D Brace |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 469 S Kirkwood Rd, Kirkwood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073521225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12409 (Missouri) | Primary |
Entity Name | O'fallon Dental Partnership, Barry Brace, Dmd And Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518134238 PECOS PAC ID: 5991960684 Enrollment ID: O20120702000384 |
Mailing Address | Practice Location Address |
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Barry D Brace, DMD 469 S Kirkwood Rd, Kirkwood, MO 63122-6119 Ph: (314) 965-6503 | Barry D Brace, DMD 469 S Kirkwood Rd, Kirkwood, MO 63122-6119 Ph: (314) 965-6503 |
Dr. Craig J. Plahn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 132 W Washington Ave, Suite 105, Kirkwood, MO 63122 Phone: 314-965-7222 | |
Dr. Timothy Grayem, DDS Dentist Medicare: Medicare Enrolled Practice Location: 469 S Kirkwood Rd, Kirkwood, MO 63122 Phone: 314-965-6503 Fax: 314-965-7417 | |
Dr. Charles Beard, D.D.S.,MS. Dentist Medicare: Not Enrolled in Medicare Practice Location: 204 S Clay Ave, Kirkwood, MO 63122 Phone: 314-965-3555 Fax: 314-725-7235 | |
Dr. Abby R Hailand, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 610 N Geyer Rd, Kirkwood, MO 63122 Phone: 314-965-4064 Fax: 314-965-1141 | |
Dr. Jaclyn Michelle Scroggins, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 209 S Kirkwood Rd, Kirkwood, MO 63122 Phone: 314-821-1101 | |
Lisa D. Haines, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11001 Manchester Rd, Kirkwood, MO 63122 Phone: 314-966-7778 Fax: 314-909-1579 |