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CREVE COEUR ORAL SURGERY NPI 1891107132


NPI Information

NPI: 1891107132
Provider Name: CREVE COEUR ORAL SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
605 OLD BALLAS RD
SUITE 130
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 361-0760
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CREVE COEUR ORAL SURGERY is an oral and maxillofacial surgery dentist in Saint Louis, MO. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. CREVE COEUR ORAL SURGERY NPI is 1891107132. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

605 OLD BALLAS RD
SUITE 130
SAINT LOUIS, MO
ZIP 63141-000
Phone: (314) 361-0760
Fax: (314) 367-7726

The provider's authorized official is Amanda Andrews .
The authorized official title is Insurance Coordinator and has the following contact phone number (314) 361-0760.

The enumeration date for this NPI number is 5/21/2014 and was last updated on 5/21/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

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: 4/28/2024

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