WILLIAM J. PAVLISIN D.D.S. P.C. NPI 1912471921

NPI Information

WILLIAM J. PAVLISIN, D.D.S., P.C. is a dental clinic center in Saint Louis, MO. WILLIAM J. PAVLISIN, D.D.S., P.C. NPI is 1912471921. The provider is registered as an organization entity type.

The provider's business location address is:

9021 GRAVOIS RD
SAINT LOUIS, MO
ZIP 63123-625
Phone: (314) 481-5150
Fax: (314) 481-5150

The provider's authorized official is William John Pavlisin .
The authorized official title is Owner and has the following contact phone number (314) 481-5150.

The enumeration date for this NPI number is 1/14/2019 and was last updated on 1/14/2019.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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