| Dr Larry Wilson Thomas, DDS | |
|
11709 Old Ballas Rd, Ste 200, Creve Coeur, MO 63141-7029 | |
| (314) 872-8590 | |
| (314) 872-3523 |
| Full Name | Dr Larry Wilson Thomas |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11709 Old Ballas Rd, Creve Coeur, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033226543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 013698 (Missouri) | Primary |
| Entity Name | Mercy Hospitals East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107 |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry Wilson Thomas, DDS 11709 Old Ballas Rd, Ste 200, Creve Coeur, MO 63141-7029 Ph: (314) 872-8590 | Dr Larry Wilson Thomas, DDS 11709 Old Ballas Rd, Ste 200, Creve Coeur, MO 63141-7029 Ph: (314) 872-8590 |
Dr. Alfredo Rene Calderon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12401 Olive Blvd, Creve Coeur, MO 63141 Phone: 314-275-9009 | |
Jacob Eckstaine, Dentist Medicare: Not Enrolled in Medicare Practice Location: 522 N New Ballas Rd Ste 382, Creve Coeur, MO 63141 Phone: 314-994-3737 | |
Dr. Ramona Georgeta Bosma, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13035 Olive Blvd, Suite 214, Creve Coeur, MO 63141 Phone: 314-205-0111 | |
Dr. Richard Boehm, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 211 N Lindbergh Blvd, Creve Coeur, MO 63141 Phone: 314-427-2237 | |
Dr. Robert A Shapiro, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 522 N New Ballas Road, Suite 152, Creve Coeur, MO 63141 Phone: 314-569-2050 Fax: 314-569-2014 | |
Aleezay Rehmani, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 605 Old Ballas Rd Ste 118, Creve Coeur, MO 63141 Phone: 314-993-5310 |