| Bruce H. Collignon D.d.s., P.c. | |
|
7214 Executive Pkwy House Springs MO 63051-2981 | |
| (636) 671-0102 | |
| (636) 671-1575 |
| Full Name | Bruce H. Collignon D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7214 Executive Pkwy, House Springs, Missouri |
| Authorized Official Name and Position | Bruce H. Collignon (PRESIDENT) |
| Authorized Official Contact | 6366710102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce H. Collignon D.d.s., P.c. 7214 Executive Pkwy House Springs MO 63051-2981 Ph: (636) 671-0102 | Bruce H. Collignon D.d.s., P.c. 7214 Executive Pkwy House Springs MO 63051-2981 Ph: (636) 671-0102 |
| NPI Number | 1376718213 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376718213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 012256 (Missouri) | Primary |
Ryan W. Klohr, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 Gravois Sta, House Springs, MO 63051 Phone: 636-671-0110 Fax: 636-671-0332 |