| Kiersz Dentistry Inc | |
|
441 Marshall Dr Saint Robert MO 65584-5603 | |
| (573) 336-5599 | |
| (573) 336-4809 |
| Full Name | Kiersz Dentistry Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 441 Marshall Dr, Saint Robert, Missouri |
| Authorized Official Name and Position | Jeremy C Kiersz (DENTIST) |
| Authorized Official Contact | 5733365599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiersz Dentistry Inc 441 Marshall Dr Saint Robert MO 65584-5603 Ph: (573) 336-5599 | Kiersz Dentistry Inc 441 Marshall Dr Saint Robert MO 65584-5603 Ph: (573) 336-5599 |
| NPI Number | 1366597197 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366597197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 016051 (Missouri) | Secondary |
| 1223G0001X | Dentist - General Practice | 015882 (Missouri) | Primary |
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