| Frye Dental Group | |
|
7843 Olive Blvd St Louis MO 63130 | |
| (314) 863-3772 | |
| (314) 863-3857 |
| Full Name | Frye Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7843 Olive Blvd, St Louis, Missouri |
| Authorized Official Name and Position | Derrick O Neal Frye (PRESIDENT DENTIST) |
| Authorized Official Contact | 3148633772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frye Dental Group 7843 Olive Blvd St Louis MO 63130 Ph: (314) 863-3772 | Frye Dental Group 7843 Olive Blvd St Louis MO 63130 Ph: (314) 863-3772 |
| NPI Number | 1265498844 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265498844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE015374 (Missouri) | Primary |
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