| Salthouse Smiles Pediatric Dentistry | |
|
11941 Manchester Rd Des Peres MO 63131-4502 | |
| (314) 501-8300 | |
| (314) 462-1844 |
| Full Name | Salthouse Smiles Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11941 Manchester Rd, Des Peres, Missouri |
| Authorized Official Name and Position | Corbin Salthouse (OWNER) |
| Authorized Official Contact | 3149605740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salthouse Smiles Pediatric Dentistry 11941 Manchester Rd Des Peres MO 63131-4502 Ph: (314) 501-8300 | Salthouse Smiles Pediatric Dentistry 11941 Manchester Rd Des Peres MO 63131-4502 Ph: (314) 501-8300 |
| NPI Number | 1316638125 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316638125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
Na Niewdach Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11648 Manchester Rd, Des Peres, MO 63131 Phone: 314-394-2828 |