| Jack Guo, | |
|
113 Church St, O Fallon, MO 63366-2894 | |
| (636) 362-4040 | |
| Not Available |
| Full Name | Jack Guo |
|---|---|
| Gender | Male |
| Speciality | Dentist - Endodontics |
| Location | 113 Church St, O Fallon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669110599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2024015466 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Guo, 2220 Mid Rivers Place Dr Apt 2220, Saint Peters, MO 63304-4438 Ph: (870) 404-8258 | Jack Guo, 113 Church St, O Fallon, MO 63366-2894 Ph: (636) 362-4040 |
Ralph Thomas Dinges, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7124 S Outer 364, O Fallon, MO 63368 Phone: 636-978-4848 |
Dr. Richard Emer Mcdermott, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3006 Highway K, O Fallon, MO 63368 Phone: 636-978-8848 Fax: 636-978-0240 |
Dr. Zheng Qian, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2941 Highway K, O Fallon, MO 63368 Phone: 216-206-7892 |
Dr. Jennifer Soprych, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3009 Highway K, O Fallon, MO 63368 Phone: 636-379-7552 |
Eric Joseph Fritsche, Dentist Medicare: Medicare Enrolled Practice Location: 3009 Highway K, O Fallon, MO 63368 Phone: 636-379-7552 |
Sarah Allison Conover, Dentist Medicare: Medicare Enrolled Practice Location: 3009 State Hwy K, O Fallon, MO 63368 Phone: 636-379-7552 |
Alyssa A Phinney, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3009 Winghaven Blvd, O Fallon, MO 63368 Phone: 636-561-5160 Fax: 636-561-4069 |