| St Louis County Oral and Maxillofacial Surgery | |
|
222 S Woods Mill Rd Ste 720n Chesterfield MO 63017-3650 | |
| (314) 434-0493 | |
| (314) 434-7883 |
| Full Name | St Louis County Oral and Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 222 S Woods Mill Rd Ste 720n, Chesterfield, Missouri |
| Authorized Official Name and Position | Donna Marie Graeser (INSURANCE) |
| Authorized Official Contact | 3144340493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Louis County Oral and Maxillofacial Surgery 222 S Woods Mill Rd Ste 720n Chesterfield MO 63017-3650 Ph: (314) 434-0493 | St Louis County Oral and Maxillofacial Surgery 222 S Woods Mill Rd Ste 720n Chesterfield MO 63017-3650 Ph: (314) 434-0493 |
| NPI Number | 1073709226 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 02/28/2023 |
| Certification Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073709226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | () | Secondary |
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