Jerome Disher is a Dentist in Saint Louis, Missouri. Jerome Disher practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jerome Disher is 1891804985. The last update date is 2007-07-08.
Jerome Disher's current location address is 3721 Jennings Station Rd, Saint Louis, Missouri. You can contact this provider via phone number 3143822000 and fax number 3143822411. The mailing address for Jerome Disher is 3721 Jennings Station Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Disher |
|---|---|
| Address | 3721 Jennings Station Rd, Saint Louis, Missouri |
| Phone Number | 3143822000 |
| Fax Number | 3143822411 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1891804985 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3721 Jennings Station Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631213505 |
| Phone Number | 3143822000 |
| Fax Number | 3143822411 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 10913 |
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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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What is the unique identification code assigned to Jerome Disher by the Centers for Medicare & Medicaid Services?
The Jerome Disher has been issued the NPI (National Provider Identifier) 1891804985. This 10-digit code 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 Jerome Disher's facilities are situated?
The facilities of Jerome Disher are physically located at the following address: 3721 Jennings Station Rd, Saint Louis, MO, 631213505.
What is the Jerome Disher's area of specialization and corresponding taxonomy classification?
The Jerome Disher's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did Jerome Disher receive its 1891804985 assignment from the Centers for Medicare & Medicaid Services?
The Jerome Disher was assigned its 1891804985 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jerome Disher most recently updated or refreshed?
The details pertaining to the Jerome Disher, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.