| Elm Dental Care, Llc | |
|
3820 Elm St Saint Charles MO 63301-4368 | |
| (636) 916-4848 | |
| (636) 916-1004 |
| Full Name | Elm Dental Care, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3820 Elm St, Saint Charles, Missouri |
| Authorized Official Name and Position | Michael R Leuchtmann (OWNER) |
| Authorized Official Contact | 6369164848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elm Dental Care, Llc 3820 Elm St Saint Charles MO 63301-4368 Ph: (636) 916-4848 | Elm Dental Care, Llc 3820 Elm St Saint Charles MO 63301-4368 Ph: (636) 916-4848 |
| NPI Number | 1023258936 |
|---|---|
| Provider Enumeration Date | 03/05/2009 |
| Last Update Date | 06/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023258936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2010021038 (Missouri) | Primary |
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