| Baxter Smiles Llc | |
|
201a E 5th St Eureka MO 63025-1223 | |
| (636) 938-7827 | |
| Not Available |
| Full Name | Baxter Smiles Llc |
|---|---|
| Speciality | Dentist |
| Location | 201a E 5th St, Eureka, Missouri |
| Authorized Official Name and Position | Adam T Wehrmeister (OWNER) |
| Authorized Official Contact | 6362279666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baxter Smiles Llc 201a E 5th St Eureka MO 63025-1223 Ph: (636) 938-7827 | Baxter Smiles Llc 201a E 5th St Eureka MO 63025-1223 Ph: (636) 938-7827 |
| NPI Number | 1366805285 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 03/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366805285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2009012917 (Missouri) | Primary |
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All Star Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201a E 5th St, Eureka, MO 63025 Phone: 636-938-7827 Fax: 636-938-5979 | |
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