Provider Type Icon

CLARKSON ORAL SURGERY NPI 1114498946


NPI Information

NPI: 1114498946
Provider Name: CLARKSON ORAL SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2997 CLARKSON RD
STE 120
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 948-6725
Get Directions

CLARKSON ORAL SURGERY is an oral and maxillofacial surgery dentist in Chesterfield, 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. CLARKSON ORAL SURGERY NPI is 1114498946. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2997 CLARKSON RD
STE 120
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 948-6725

The provider's authorized official is Michael W Noble .
The authorized official title is Owner and has the following contact phone number (314) 251-6725.

The enumeration date for this NPI number is 12/5/2018 and was last updated on 12/5/2018.


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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.