| Michael F Grasso Dds & Associates Pc | |
|
2 West Dr Ste 120 Chesterfield MO 63017-1843 | |
| (636) 777-7700 | |
| Not Available |
| Full Name | Michael F Grasso Dds & Associates Pc |
|---|---|
| Speciality | Dentist |
| Location | 2 West Dr Ste 120, Chesterfield, Missouri |
| Authorized Official Name and Position | Michael Grasso (DOCTOR) |
| Authorized Official Contact | 6367777700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael F Grasso Dds & Associates Pc 2 West Dr Ste 120 Chesterfield MO 63017-1843 Ph: (636) 777-7700 | Michael F Grasso Dds & Associates Pc 2 West Dr Ste 120 Chesterfield MO 63017-1843 Ph: (636) 777-7700 |
| NPI Number | 1922671163 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 07/23/2021 |
| Medicare PECOS PAC ID | 0446655070 |
|---|---|
| Medicare Enrollment ID | O20210820000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922671163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 122400000X | Denturist | (* (Not Available)) | Secondary |
| Provider Name | Michael F Grasso |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1073503587 PECOS PAC ID: 8022320886 Enrollment ID: I20210517000367 |
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