| Premier Dental Partners Ellisville | |
|
12 Hutchinson Rd Ellisville MO 63011-5702 | |
| (636) 391-0122 | |
| (636) 391-0185 |
| Full Name | Premier Dental Partners Ellisville |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12 Hutchinson Rd, Ellisville, Missouri |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Partners Ellisville 12 Hutchinson Rd Ellisville MO 63011-5702 Ph: (636) 391-0122 | Premier Dental Partners Ellisville 12 Hutchinson Rd Ellisville MO 63011-5702 Ph: (636) 391-0122 |
| NPI Number | 1366585911 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366585911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Zieba Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 428 Old State Rd., Ellisville, MO 63021 Phone: 636-391-6030 Fax: 636-527-8386 | |
E. Glenn Glassman, D.d.s. Pc Dba Orthocare Systems Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15925 Manchester Rd, Ellisville, MO 63011 Phone: 636-394-3660 Fax: 636-394-3519 | |
Ries Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ozark Trail Dr, Suite 100, Ellisville, MO 63011 Phone: 636-230-6100 | |
Michael S Cherre Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Ozark Trail Dr, Ste 3, Ellisville, MO 63011 Phone: 636-391-9170 Fax: 636-227-7350 | |
Andrew G. Mitchell, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15991 Manchester Rd, Ellisville, MO 63011 Phone: 636-227-6945 | |
Crystal Martin Dds Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 277 Clarkson Rd Ste 100, Ellisville, MO 63011 Phone: 636-227-0507 Fax: 636-591-0032 |