Steven Ray Dedrickson, Dds Pc in Clayton - Dentist

Steven Ray Dedrickson, Dds Pc - NPI 1083819189

Steven Ray Dedrickson, Dds Pc is a Dentist in Clayton, Missouri. Steven Ray Dedrickson, Dds Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Steven Ray Dedrickson, Dds Pc is 1083819189. The last update date is 2020-08-22.

Steven Ray Dedrickson, Dds Pc's current location address is 7777 Bonhomme Ave Ste 1900, Clayton, Missouri. You can contact this provider via phone number 3147212466 and fax number 3147255311. The mailing address for Steven Ray Dedrickson, Dds Pc is 7777 Bonhomme Ave Ste 1900, Clayton, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Steven Ray Dedrickson, Dds Pc
Address 7777 Bonhomme Ave Ste 1900, Clayton, Missouri
Phone Number 3147212466
Fax Number 3147255311
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Dedrickson Ray Steven
Credentials DDS
Telephone Number 3147212466

NPI Number Detail

NPI Number 1083819189
Provider Enumeration Date 2007-06-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 7777 Bonhomme Ave Ste 1900
City Clayton
State Missouri (MO)
Post Code 631051941
Phone Number 3147212466
Fax Number 3147255311

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 14621
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Steven Ray Dedrickson, Dds Pc

What is the unique 10-digit identification code assigned to Steven Ray Dedrickson, Dds Pc by the Centers for Medicare & Medicaid Services?

The Steven Ray Dedrickson, Dds Pc has been issued the NPI (National Provider Identifier) 1083819189, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Steven Ray Dedrickson, Dds Pc's facilities are situated?

The facilities of Steven Ray Dedrickson, Dds Pc are physically located at the following address: 7777 Bonhomme Ave Ste 1900, Clayton, MO, 631051941.

What is the Steven Ray Dedrickson, Dds Pc's specialty and taxonomy code?

The Steven Ray Dedrickson, Dds Pc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1083819189 to Steven Ray Dedrickson, Dds Pc?

The Centers for Medicare & Medicaid Services assigned the 1083819189 to Steven Ray Dedrickson, Dds Pc on 2007-06-19.

When was the information related to Steven Ray Dedrickson, Dds Pc most recently updated or refreshed?

The details pertaining to the Steven Ray Dedrickson, Dds Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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