CHARLES E. NIESEN II, DMD, MICHAEL J. FADDIS, DDS is a general practice dentist in Saint Louis, 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. CHARLES E. NIESEN II, DMD, MICHAEL J. FADDIS, DDS NPI is 1548321318. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Brentwood Dental Group.
The provider's business location address is:
2440 S BRENTWOOD BLVD
SAINT LOUIS, MO
ZIP 63144-321
Phone: (314) 962-6643
Fax: (314) 962-2205
The provider's authorized official is Michael J. Faddis .
The authorized official title is Owner and has the following contact phone number (314) 962-6643.
The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/21/2007.