| Rocky F. Lupardus, D.m.d., P.c. | |
|
302 Bald Hill Rd Eureka MO 63025-3731 | |
| (636) 938-4450 | |
| (636) 938-1300 |
| Full Name | Rocky F. Lupardus, D.m.d., P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 302 Bald Hill Rd, Eureka, Missouri |
| Authorized Official Name and Position | Rocky Lupardus (PRESIDENT) |
| Authorized Official Contact | 6369384450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky F. Lupardus, D.m.d., P.c. 302 Bald Hill Rd Eureka MO 63025-3731 Ph: (636) 938-4450 | Rocky F. Lupardus, D.m.d., P.c. 302 Bald Hill Rd Eureka MO 63025-3731 Ph: (636) 938-4450 |
| NPI Number | 1477758563 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477758563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE 015475 (Missouri) | Primary |
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