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GATEWAY ORAL HEALTH FOUNDATION NPI 1346394970


NPI Information

NPI: 1346394970
Provider Name: GATEWAY ORAL HEALTH FOUNDATION
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9378 OLIVE ST STE ILL
GATEWAY ORAL HEALTH FOUNDATION
OLIVETTE, MO
ZIP 63132
Phone: (314) 872-3930
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GATEWAY ORAL HEALTH FOUNDATION is a general practice dentist in Olivette, 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. GATEWAY ORAL HEALTH FOUNDATION NPI is 1346394970. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9378 OLIVE ST STE ILL
GATEWAY ORAL HEALTH FOUNDATION
OLIVETTE, MO
ZIP 63132-378
Phone: (314) 872-3930
Fax: (314) 872-3952

The provider's authorized official is Byron V Devall .
The authorized official title is Dentist and has the following contact phone number (314) 872-3930.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/22/2020.


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 PracticeM0013419MISSOURIYes

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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