DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELLIS BASIL MEMOS, DDS

Active

DR. ELLIS BASIL MEMOS, DDS is a General Dentistry healthcare provider located in ST LOUIS, Missouri. NPI 1245340025 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ST LOUIS, MO

Registration Details

NPI Number
1245340025
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2006 (19.970149671993 yrs)
Last Updated
Jul 8, 2007
License
9757 (MO)

Practice Information

Address
5108 HAMPTON AVE
ST LOUIS, MO, 631093113
Browse MO providers · Browse ZIP 63109
Phone
3148324816
Fax
3148324811
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in ST LOUIS, MO

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.