| Riverheart Family Dentistry | |
|
8618 Mexico Rd O Fallon MO 63366-7507 | |
| (636) 205-4045 | |
| Not Available |
| Full Name | Riverheart Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8618 Mexico Rd, O Fallon, Missouri |
| Authorized Official Name and Position | Travis Schwarz (OWNER/DENTIST) |
| Authorized Official Contact | 6188300958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverheart Family Dentistry 8618 Mexico Rd O Fallon MO 63366-7507 Ph: (636) 205-4045 | Riverheart Family Dentistry 8618 Mexico Rd O Fallon MO 63366-7507 Ph: (636) 205-4045 |
| NPI Number | 1932565504 |
|---|---|
| Provider Enumeration Date | 01/12/2016 |
| Last Update Date | 01/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932565504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2011030941 (Missouri) | Primary |
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River City Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Church St, O Fallon, MO 63366 Phone: 636-362-4040 Fax: 636-362-4141 | |
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