| Premier Dental Partners Chesterfield | |
|
100 Chesterfield Business Pkwy Ste 315 Chesterfield MO 63005-1271 | |
| (636) 728-1199 | |
| (636) 728-1198 |
| Full Name | Premier Dental Partners Chesterfield |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Chesterfield Business Pkwy Ste 315, Chesterfield, Missouri |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Partners Chesterfield 100 Chesterfield Business Pkwy Ste 315 Chesterfield MO 63005-1271 Ph: (636) 728-1199 | Premier Dental Partners Chesterfield 100 Chesterfield Business Pkwy Ste 315 Chesterfield MO 63005-1271 Ph: (636) 728-1199 |
| NPI Number | 1699423491 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 05/12/2025 |
| Certification Date | 05/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699423491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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