| Provide Dental | |
|
13371 Olive Blvd # 3108 Chesterfield MO 63017-3108 | |
| (314) 878-5544 | |
| Not Available |
| Full Name | Provide Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13371 Olive Blvd # 3108, Chesterfield, Missouri |
| Authorized Official Name and Position | Philip Son (DENTIST) |
| Authorized Official Contact | 3237879397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provide Dental 13371 Olive Blvd # 3108 Chesterfield MO 63017-3108 Ph: (314) 878-5544 | Provide Dental 13371 Olive Blvd # 3108 Chesterfield MO 63017-3108 Ph: (314) 878-5544 |
| NPI Number | 1124990601 |
|---|---|
| Provider Enumeration Date | 09/23/2025 |
| Last Update Date | 09/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124990601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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