| Mooney Orthodontics | |
|
9018 Phoenix Pkwy O Fallon MO 63368-4278 | |
| (636) 970-4700 | |
| Not Available |
| Full Name | Mooney Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9018 Phoenix Pkwy, O Fallon, Missouri |
| Authorized Official Name and Position | Thomas F. Mooney (MEMBER / MANAGER) |
| Authorized Official Contact | 6369704700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mooney Orthodontics 9018 Phoenix Pkwy O Fallon MO 63368-4278 Ph: (636) 970-4700 | Mooney Orthodontics 9018 Phoenix Pkwy O Fallon MO 63368-4278 Ph: (636) 970-4700 |
| NPI Number | 1063761773 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 09/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063761773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 015486 (Missouri) | Primary |
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