| John C. Boain, Dds Dental Care, Llc | |
|
1001 Dunn Rd Florissant MO 63031-8215 | |
| (314) 921-3527 | |
| (314) 921-7855 |
| Full Name | John C. Boain, Dds Dental Care, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1001 Dunn Rd, Florissant, Missouri |
| Authorized Official Name and Position | Ty V. Justice (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Contact | 5138084984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C. Boain, Dds Dental Care, Llc 9825 Kenwood Rd Ste 200 Blue Ash OH 45242-6252 Ph: (513) 808-4984 | John C. Boain, Dds Dental Care, Llc 1001 Dunn Rd Florissant MO 63031-8215 Ph: (314) 921-3527 |
| NPI Number | 1356811731 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356811731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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