| Chesterfield Park Dental | |
|
4 West Dr Ste 150 Chesterfield MO 63017-1793 | |
| (636) 532-1661 | |
| (866) 262-1503 |
| Full Name | Chesterfield Park Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4 West Dr Ste 150, Chesterfield, Missouri |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesterfield Park Dental 4 West Drive Suite 150 Chesterfield MO 63017 Ph: (636) 532-1661 | Chesterfield Park Dental 4 West Dr Ste 150 Chesterfield MO 63017-1793 Ph: (636) 532-1661 |
| NPI Number | 1013256452 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 04/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013256452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2003018551 (Missouri) | Primary |
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