Ellis Basil Memos in St Louis - General Practice
Ellis Basil Memos - NPI 1245340025
Ellis Basil Memos is a General Practice in St Louis, Missouri. Ellis Basil Memos practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ellis Basil Memos is 1245340025. The last update date is 2007-07-08.
Ellis Basil Memos's current location address is 5108 Hampton Ave, St Louis, Missouri. You can contact this provider via phone number 3148324816 and fax number 3148324811. The mailing address for Ellis Basil Memos is 5108 Hampton Ave, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellis Basil Memos |
|---|---|
| Address | 5108 Hampton Ave, St Louis, Missouri |
| Phone Number | 3148324816 |
| Fax Number | 3148324811 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1245340025 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5108 Hampton Ave |
|---|---|
| City | St Louis |
| State | Missouri (MO) |
| Post Code | 631093113 |
| Phone Number | 3148324816 |
| Fax Number | 3148324811 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 9757 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Ellis Basil Memos?
The Ellis Basil Memos has been issued the NPI (National Provider Identifier) 1245340025 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ellis Basil Memos?
The Ellis Basil Memos is physically situated at 5108 Hampton Ave, in the city of St Louis, state of MO, with the postal code 631093113.
What is the area of specialization for Ellis Basil Memos, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ellis Basil Memos is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Ellis Basil Memos receive the assignment of its 1245340025 from the Centers for Medicare & Medicaid Services?
The Ellis Basil Memos was issued its 1245340025 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details related to Ellis Basil Memos most recently updated or revised?
The information pertaining to Ellis Basil Memos, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.