| Todd J. Wind D.d.s. P.c. | |
|
12109 Tesson Ferry Professional Ctr Saint Louis MO 63128-1250 | |
| (314) 843-2078 | |
| Not Available |
| Full Name | Todd J. Wind D.d.s. P.c. |
|---|---|
| Speciality | Dentist |
| Location | 12109 Tesson Ferry Professional Ctr, Saint Louis, Missouri |
| Authorized Official Name and Position | Todd J Wind (OWNER) |
| Authorized Official Contact | 3148432078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd J. Wind D.d.s. P.c. 12109 Tesson Ferry Professional Ctr Saint Louis MO 63128-1250 Ph: (314) 843-2078 | Todd J. Wind D.d.s. P.c. 12109 Tesson Ferry Professional Ctr Saint Louis MO 63128-1250 Ph: (314) 843-2078 |
| NPI Number | 1083888606 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Medicare PECOS PAC ID | 0244527315 |
|---|---|
| Medicare Enrollment ID | O20160919000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083888606 | NPI | - | NPPES |
| 2001011238 | Other | MO | DELTA DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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