| Shannon Ankenbrandt,dds,llc | |
|
1041 Wolfrum Rd Weldon Spring MO 63304-7625 | |
| (636) 300-4545 | |
| (636) 329-0244 |
| Full Name | Shannon Ankenbrandt,dds,llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1041 Wolfrum Rd, Weldon Spring, Missouri |
| Authorized Official Name and Position | Shannon Williams Ankenbrandt (OWNER) |
| Authorized Official Contact | 6362193963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Ankenbrandt,dds,llc 1041 Wolfrum Rd Weldon Spring MO 63304-7625 Ph: (636) 300-4545 | Shannon Ankenbrandt,dds,llc 1041 Wolfrum Rd Weldon Spring MO 63304-7625 Ph: (636) 300-4545 |
| NPI Number | 1184069007 |
|---|---|
| Provider Enumeration Date | 05/06/2013 |
| Last Update Date | 05/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184069007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2002015114 (Missouri) | Primary |
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