Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CREVE COEUR PERIODONTICS, INC.
Active OrganizationCREVE COEUR PERIODONTICS, INC. is a Periodontology organization located in CREVE COEUR, Missouri. NPI 1174799415 is currently active in the NPPES registry. Verify at CMS.
Periodontology · CREVE COEUR, MO
Registration Details
- NPI Number
- 1174799415
- Provider Type
- Organization
- NPI Issued
- May 6, 2008 (18.31404643594 yrs)
- Last Updated
- May 6, 2008
- License
-
14247 (MO)
Practice Information
- Address
-
11709 OLD BALLAS RDSUITE 206CREVE COEUR, MO, 631417029Browse MO providers · Browse ZIP 63141
- Phone
- 3145673760
- Fax
- 3145673929
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Organizations in CREVE COEUR, MO
| Name | NPI |
|---|---|
| RYAN RADER ENTERPRISES DMD LLC | 1255759197 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.