| Gateway Oral Health Foundation | |
|
9378 Olive St Ste Ill Gateway Oral Health Foundation Olivette MO 63132-9378 | |
| (314) 872-3930 | |
| (314) 872-3952 |
| Full Name | Gateway Oral Health Foundation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9378 Olive St Ste Ill, Olivette, Missouri |
| Authorized Official Name and Position | Byron V Devall (DENTIST) |
| Authorized Official Contact | 3148723930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Oral Health Foundation 9378 Olive St Ste Ill Olivette MO 63132-9378 Ph: (314) 872-3930 | Gateway Oral Health Foundation 9378 Olive St Ste Ill Gateway Oral Health Foundation Olivette MO 63132-9378 Ph: (314) 872-3930 |
| NPI Number | 1346394970 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346394970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M0013419 (Missouri) | Primary |
Byron Duvall D.d.s. Gateway, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9378 Olive Blvd, Suite 1ll, Olivette, MO 63132 Phone: 800-409-2563 |