| Mo Specialty Dental Services, Llc | |
|
4142 Keaton Crossing Blvd Ste 10 O Fallon MO 63368-8404 | |
| (636) 244-2620 | |
| Not Available |
| Full Name | Mo Specialty Dental Services, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4142 Keaton Crossing Blvd Ste 10, O Fallon, Missouri |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mo Specialty Dental Services, Llc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Mo Specialty Dental Services, Llc 4142 Keaton Crossing Blvd Ste 10 O Fallon MO 63368-8404 Ph: (636) 244-2620 |
| NPI Number | 1811624141 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 08/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811624141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
.dennis L. Schulze, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Highway K, O Fallon, MO 63368 Phone: 636-926-9221 Fax: 636-926-7209 | |
Dardenne Dental Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7124 S Outer 364, O Fallon, MO 63368 Phone: 636-978-4848 Fax: 636-978-4862 | |
Phoenix Village Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9210 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-1154 Fax: 636-625-0855 | |
Numpol Dejtiranukul Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4122 Keaton Crossing Blvd, Suite 101, O Fallon, MO 63368 Phone: 636-300-4280 | |
River City Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Church St, O Fallon, MO 63366 Phone: 636-362-4040 Fax: 636-362-4141 | |
Dr. Maryana Kirolos Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 E Elm St, O Fallon, MO 63366 Phone: 636-240-6858 Fax: 636-272-4278 | |
Mooney Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9018 Phoenix Pkwy, O Fallon, MO 63368 Phone: 636-970-4700 |