William Michael Boedefeld in St Peters - General Practice

William Michael Boedefeld - NPI 1306044797

William Michael Boedefeld is a General Practice in St Peters, Missouri. William Michael Boedefeld practices all healthcare services and medical treatments related to General Practice. The NPI Number for William Michael Boedefeld is 1306044797. The last update date is 2007-07-08.

William Michael Boedefeld's current location address is 105 Jungermann Rd, St Peters, Missouri. You can contact this provider via phone number 6369281244 and fax number 6369221444. The mailing address for William Michael Boedefeld is 105 Jungermann Rd, St Peters, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name William Michael Boedefeld
Address 105 Jungermann Rd, St Peters, Missouri
Phone Number 6369281244
Fax Number 6369221444
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1306044797
Provider Enumeration Date 2007-07-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 105 Jungermann Rd
City St Peters
State Missouri (MO)
Post Code 63376
Phone Number 6369281244
Fax Number 6369221444

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12127
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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FAQs about William Michael Boedefeld

What is the unique 10-digit identification code issued to William Michael Boedefeld by the Centers for Medicare & Medicaid Services?

The William Michael Boedefeld has been assigned the NPI (National Provider Identifier) 1306044797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the William Michael Boedefeld located?

The William Michael Boedefeld is located at 105 Jungermann Rd, St Peters, MO 63376.

What is the William Michael Boedefeld's specialty and taxonomy code?

The William Michael Boedefeld's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1306044797 to William Michael Boedefeld?

The William Michael Boedefeld received its 1306044797 assignment from the Centers for Medicare & Medicaid Services on 2007-07-06.

As of what date were the William Michael Boedefeld's details last updated?

The information pertaining to the William Michael Boedefeld, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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