| Midwest Dental Sleep Medicine Institute,llc | |
|
12266 De Paul Dr Suite 325 Bridgeton MO 63044-2514 | |
| (314) 291-9000 | |
| (314) 291-0590 |
| Full Name | Midwest Dental Sleep Medicine Institute,llc |
|---|---|
| Speciality | Dentist |
| Location | 12266 De Paul Dr, Bridgeton, Missouri |
| Authorized Official Name and Position | Thomas Michael Gotsis (PRESIDENT/OWNER) |
| Authorized Official Contact | 3142919000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Dental Sleep Medicine Institute,llc 12266 De Paul Dr Suite 325 Bridgeton MO 63044-2514 Ph: (314) 291-9000 | Midwest Dental Sleep Medicine Institute,llc 12266 De Paul Dr Suite 325 Bridgeton MO 63044-2514 Ph: (314) 291-9000 |
| NPI Number | 1528477114 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 10/21/2014 |
| Medicare PECOS PAC ID | 3577784107 |
|---|---|
| Medicare Enrollment ID | O20141024001198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528477114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 015476 (Missouri) | Primary |
| Provider Name | Thomas Gotsis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1871696203 PECOS PAC ID: 5395924450 Enrollment ID: I20141024001370 |
Bell Dental Maryland Heights Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3394 Mckelvey Rd Ste 110, Bridgeton, MO 63044 Phone: 314-739-5600 | |
He & Ta Rechtin Dds,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3450 Bridgeland Dr, Suite A, Bridgeton, MO 63044 Phone: 314-770-0400 Fax: 314-770-0170 | |
Abaji Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12221 Saint Charles Rock Rd, Bridgeton, MO 63044 Phone: 314-656-6615 | |
Christopher F. Dowling Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12758 Boenker Ln, Bridgeton, MO 63044 Phone: 314-739-3300 Fax: 314-739-0005 | |
William G. Dewert, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12758 Boenker Ln, Bridgeton, MO 63044 Phone: 314-739-3300 | |
Michael B. Dietrich, D.m.d.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3439 Bridgeland Dr, Bridgeton, MO 63044 Phone: 314-291-2777 Fax: 314-291-9873 |