Dr Daniel M Autry, DMD | |
8141 John Mckeever Rd, House Springs, MO 63051-3216 | |
(618) 967-9570 | |
Not Available |
Full Name | Dr Daniel M Autry |
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Gender | Male |
Speciality | Dentist - Pediatric Dentistry |
Location | 8141 John Mckeever Rd, House Springs, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740275593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 8613 (Colorado) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | 2005019770 (Missouri) | Primary |
Entity Name | Mercy Clinic East Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel M Autry, DMD 8141 John Mckeever Rd, House Springs, MO 63051-3216 Ph: (618) 967-9570 | Dr Daniel M Autry, DMD 8141 John Mckeever Rd, House Springs, MO 63051-3216 Ph: (618) 967-9570 |
Ellen Blattel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4300 Gravois Rd, House Springs, MO 63051 Phone: 636-321-0135 | |
Olga Helms, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4300 Gravois Rd, House Springs, MO 63051 Phone: 636-321-0150 | |
Dr. Bruce H Collignon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7214 Executive Pkwy, House Springs, MO 63051 Phone: 636-671-0102 Fax: 636-671-1575 | |
Jacalyn Renee Dames, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4092 Crest Dr, House Springs, MO 63051 Phone: 636-575-8436 |