DESHMUKH DDS PC NPI 1720290372

NPI Information

DESHMUKH DDS, PC is a periodontics dentist in Saint Louis, MO. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DESHMUKH DDS, PC NPI is 1720290372. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Periodontal Specialists , Pc.

The provider's business location address is:

1034 S BRENTWOOD BLVD
SUITE #740
SAINT LOUIS, MO
ZIP 63117-223
Phone: (314) 725-4221
Fax: (314) 725-4319

The provider's authorized official is Videsh Damodar Deshmukh .
The authorized official title is President and has the following contact phone number (314) 725-4221.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 8/28/2014.

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:

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