| Mywildwooddentist.com | |
|
2751 Fountain Place Suite 1 Wildwood MO 63040-1202 | |
| (636) 273-9258 | |
| (636) 273-3710 |
| Full Name | Mywildwooddentist.com |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2751 Fountain Place, Wildwood, Missouri |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mywildwooddentist.com 2751 Fountain Place Suite 1 Wildwood MO 63040-1202 Ph: (636) 273-9258 | Mywildwooddentist.com 2751 Fountain Place Suite 1 Wildwood MO 63040-1202 Ph: (636) 273-9258 |
| NPI Number | 1861713497 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 04/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861713497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2001007168 (Missouri) | Primary |
Jon Copeland Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2426 Taylor Rd, Wildwood, MO 63040 Phone: 636-273-5866 | |
Gregory S. St. John, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16429 Village Plaza View Dr, Wildwood, MO 63011 Phone: 636-458-9300 | |
Cherry Hills Dental Group Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16976 Manchester Rd, Wildwood, MO 63040 Phone: 636-458-9090 Fax: 636-458-9536 | |
Timothy C. Denny, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16512 Manchester Rd, Wildwood, MO 63040 Phone: 636-458-2700 |