| Gateway Little Smiles, Llc | |
|
4758 Mid Rivers Mall Dr Cottleville MO 63376-2883 | |
| (314) 496-3562 | |
| Not Available |
| Full Name | Gateway Little Smiles, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4758 Mid Rivers Mall Dr, Cottleville, Missouri |
| Authorized Official Name and Position | Corey Hastings (OWNER) |
| Authorized Official Contact | 3144963562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Little Smiles, Llc 309 Cedar St Washington MO 63090-2324 Ph: () - | Gateway Little Smiles, Llc 4758 Mid Rivers Mall Dr Cottleville MO 63376-2883 Ph: (314) 496-3562 |
| NPI Number | 1740860063 |
|---|---|
| Provider Enumeration Date | 04/11/2021 |
| Last Update Date | 04/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740860063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |