| Streets Of St. Charles | |
|
1520 South 5th Street Suite 103 St. Charles MO 63303 | |
| (636) 493-6494 | |
| (636) 493-6499 |
| Full Name | Streets Of St. Charles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1520 South 5th Street, St. Charles, Missouri |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Streets Of St. Charles 1520 South 5th Street Suite 103 St. Charles MO 63303 Ph: (636) 493-6494 | Streets Of St. Charles 1520 South 5th Street Suite 103 St. Charles MO 63303 Ph: (636) 493-6494 |
| NPI Number | 1568718690 |
|---|---|
| Provider Enumeration Date | 07/26/2012 |
| Last Update Date | 04/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568718690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Susan E. Litteken, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 928 First Capitol Drive, St. Charles, MO 63301 Phone: 636-724-0220 | |
Lindenwood Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2048 1st Capitol Drive, St. Charles, MO 63301 Phone: 636-345-9245 Fax: 636-389-5002 |