Dr Benjamin Jeffrey Connor, DDS | |
851 E 5th St, Suite 200, Washington, MO 63090-3135 | |
(636) 239-8585 | |
(636) 239-8553 |
Full Name | Dr Benjamin Jeffrey Connor |
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Gender | Male |
Speciality | Dentist - Dental Public Health |
Location | 851 E 5th St, Washington, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396972501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0001X | Dentist - Dental Public Health | 2009013175 (Missouri) | Primary |
Entity Name | Mercy Hospitals East Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104912997 PECOS PAC ID: 3779479019 Enrollment ID: O20041019000757 |
Mailing Address | Practice Location Address |
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Dr Benjamin Jeffrey Connor, DDS Po Box 502852, Saint Louis, MO 63150-2852 Ph: (636) 239-8585 | Dr Benjamin Jeffrey Connor, DDS 851 E 5th St, Suite 200, Washington, MO 63090-3135 Ph: (636) 239-8585 |
Darrell W Lewis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 416 Elm St, Washington, MO 63090 Phone: 636-239-2804 Fax: 636-239-9660 | |
Dr. Jon Patrick Lebsack, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 851 E 5th St, Ste. 320, Washington, MO 63090 Phone: 636-239-7150 | |
Mrs. Jamie Ranae Mangels, Dentist Medicare: Not Enrolled in Medicare Practice Location: 709 Jefferson St, Washington, MO 63090 Phone: 636-239-2316 Fax: 636-239-3316 | |
Daniel Gerard Walde, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1201 Jefferson St, Suite 220, Washington, MO 63090 Phone: 636-390-0005 Fax: 636-390-0001 | |
Joseph M Laventure, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 416 Elm St, Washington, MO 63090 Phone: 636-239-2804 Fax: 636-239-9660 | |
Aruna Rajagopalan Astuto, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 E 6th St, Washington, MO 63090 Phone: 636-239-6328 Fax: 636-239-5048 | |
Dr. Kaitlyn Bumberry, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 E 6th St, Washington, MO 63090 Phone: 636-239-6328 |