| Missouri College, Inc. | |
|
1405 S Hanley Rd Brentwood MO 63144-2902 | |
| (314) 768-7800 | |
| (314) 768-7900 |
| Full Name | Missouri College, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1405 S Hanley Rd, Brentwood, Missouri |
| Authorized Official Name and Position | Nicole Gramlich (CAMPUS DIRECTOR) |
| Authorized Official Contact | 3147687806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri College, Inc. 1405 S Hanley Rd Brentwood MO 63144-2902 Ph: (314) 768-7800 | Missouri College, Inc. 1405 S Hanley Rd Brentwood MO 63144-2902 Ph: (314) 768-7800 |
| NPI Number | 1639436181 |
|---|---|
| Provider Enumeration Date | 04/20/2012 |
| Last Update Date | 04/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639436181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 010357 (Missouri) | Primary |
Doherty Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8824 Litzsinger Rd, Brentwood, MO 63144 Phone: 314-961-3221 Fax: 314-961-7477 |