MISSOURI COLLEGE INC. NPI 1639436181

NPI Information

NPI: 1639436181
Provider Name: MISSOURI COLLEGE, INC.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 26D2218015

Address:
1405 S HANLEY RD
BRENTWOOD, MO
ZIP 63144
Phone: (314) 768-7800
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MISSOURI COLLEGE, INC. is a dental clinic center in Brentwood, MO. MISSOURI COLLEGE, INC. NPI is 1639436181. The provider is registered as an organization entity type.

The provider's business location address is:

1405 S HANLEY RD
BRENTWOOD, MO
ZIP 63144-902
Phone: (314) 768-7800
Fax: (314) 768-7900

The provider's authorized official is Nicole Gramlich .
The authorized official title is Campus Director and has the following contact phone number (314) 768-7806.

The CLIA number assigned to this NPI record is 26D2218015 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2012 and was last updated on 4/20/2012.

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
1	261QD0000X	Clinic/Center	Dental	010357	MISSOURI	Yes

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

NPI Synchronization or Removal

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