| Missouri Center For Oral Surgery And Implants Llc | |
|
853 Medical Dr Ste 115 Wentzville MO 63385-3825 | |
| (636) 887-3100 | |
| (636) 887-3102 |
| Full Name | Missouri Center For Oral Surgery And Implants Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 853 Medical Dr Ste 115, Wentzville, Missouri |
| Authorized Official Name and Position | Kelsey Caitlin Smith (PARTNER) |
| Authorized Official Contact | 3149565651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Center For Oral Surgery And Implants Llc 1 Mid Rivers Mall Dr Ste 310 Saint Peters MO 63376-4323 Ph: (636) 928-7217 | Missouri Center For Oral Surgery And Implants Llc 853 Medical Dr Ste 115 Wentzville MO 63385-3825 Ph: (636) 887-3100 |
| NPI Number | 1447962915 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447962915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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