| Dr Kenneth Clark Priddy, DDS | |
|
853 Medical Dr Ste 115, Wentzville, MO 63385-3825 | |
| (636) 887-3100 | |
| (636) 887-3102 |
| Full Name | Dr Kenneth Clark Priddy |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 853 Medical Dr Ste 115, Wentzville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598127672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2021048521 (Missouri) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9781 (Kentucky) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Clark Priddy, DDS 1 Mid Rivers Mall Dr Ste 310, Saint Peters, MO 63376-4323 Ph: (636) 928-7217 | Dr Kenneth Clark Priddy, DDS 853 Medical Dr Ste 115, Wentzville, MO 63385-3825 Ph: (636) 887-3100 |
Dr. Darren Bremer, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1126 W Pearce Blvd, Ste. 110, Wentzville, MO 63385 Phone: 636-327-5188 Fax: 636-332-9223 | |
Michael F Menolascino, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 636-332-6000 Fax: 636-332-9950 | |
Dr. Michael Lawrence Lee, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1002 Schroeder Creek Blvd, Wentzville, MO 63385 Phone: 314-900-6886 | |
Dr. Lauren M Wagner, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1126 W Pearce Blvd Ste 110, Wentzville, MO 63385 Phone: 636-327-5188 Fax: 636-332-9223 | |
Kristin Nicole Lemaitre, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 Schroeder Creek Blvd, Wentzville, MO 63385 Phone: 636-332-4975 Fax: 636-332-4423 | |
Dr. Rasha T Juma, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 636-332-8318 | |
Dr. Thomas Charles Delaney, D,M,D, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1126 W Pearce Blvd, Ste 110, Wentzville, MO 63385 Phone: 636-327-5188 Fax: 636-332-9223 |