| New Creation Center For Dental Sleep Medicine Llc | |
|
15 Lakeside Dr Ste A Lake St Louis MO 63367-1378 | |
| (636) 625-1225 | |
| (636) 625-1228 |
| Full Name | New Creation Center For Dental Sleep Medicine Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15 Lakeside Dr Ste A, Lake St Louis, Missouri |
| Authorized Official Name and Position | Matthew Boscia (DENTIST) |
| Authorized Official Contact | 6366251225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Creation Center For Dental Sleep Medicine Llc 15 Lakeside Dr Ste A Lake St Louis MO 63367-1378 Ph: (636) 625-1225 | New Creation Center For Dental Sleep Medicine Llc 15 Lakeside Dr Ste A Lake St Louis MO 63367-1378 Ph: (636) 625-1225 |
| NPI Number | 1972963460 |
|---|---|
| Provider Enumeration Date | 02/26/2016 |
| Last Update Date | 07/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972963460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2003013106 (Missouri) | Primary |
New Creation Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 Civic Center Dr, Lake St Louis, MO 63367 Phone: 636-561-6400 | |
Jack D. Griffin, Jr. D.m.d., Lake St. Louis, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Lake Saint Louis Blvd, Lake St Louis, MO 63367 Phone: 314-488-1201 | |
New Creation Dental Care, L.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Lakeside Dr, Lake St Louis, MO 63367 Phone: 636-625-1225 |