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16111 MANCHESTER ROAD L.L.C. NPI 1013386598


NPI Information

NPI: 1013386598
Provider Name: 16111 MANCHESTER ROAD, L.L.C.

Doing Business As: ZIEBA FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
428 OLD STATE RD.
ELLISVILLE, MO
ZIP 63021
Phone: (636) 391-6030
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16111 MANCHESTER ROAD, L.L.C. is a general practice dentist in Ellisville, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. 16111 MANCHESTER ROAD, L.L.C. NPI is 1013386598. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Zieba Family Dentistry.

The provider's business location address is:

428 OLD STATE RD.
ELLISVILLE, MO
ZIP 63021
Phone: (636) 391-6030
Fax: (636) 527-8386

The provider's authorized official is Charles M. Zieba .
The authorized official title is Dentist/owner and has the following contact phone number (636) 391-6030.

The enumeration date for this NPI number is 9/15/2015 and was last updated on 9/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2000165488MISSOURINo
21223G0001XDentistGeneral Practice2000169958MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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