Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARSHALL CORNELIUS FREERKS JR., DDS
Active Sole ProprietorDental Clinic · ST. LOUIS, MO
Registration Details
- NPI Number
- 1346488236
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2009 (17.241586059574 yrs)
- Last Updated
- Jan 30, 2009
- Licenses
-
14600 (MO)14600 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6744 CLAYTON RD.SUITE 204ST. LOUIS, MO, 631171634Browse MO providers · Browse ZIP 63117
- Phone
- 3147255515
- Primary Specialty
-
Dental Clinic
261QD0000X
- Additional Specialty
- Dental Clinic
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.