| Creative Smiles at Winghaven | |
|
3011 Winghaven Blvd O Fallon MO 63368-3600 | |
| (636) 561-6035 | |
| (636) 561-6066 |
| Full Name | Creative Smiles at Winghaven |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3011 Winghaven Blvd, O Fallon, 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 |
|---|---|
| Creative Smiles at Winghaven 3011 Winghaven Blvd O Fallon MO 63368-3600 Ph: (636) 561-6035 | Creative Smiles at Winghaven 3011 Winghaven Blvd O Fallon MO 63368-3600 Ph: (636) 561-6035 |
| NPI Number | 1912109646 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 04/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912109646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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