Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C. in Clayton - Oral And Maxillofacial Surgery

Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C. - NPI 1184892028

Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C. is a Oral And Maxillofacial Surgery in Clayton, Missouri. Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C. is 1184892028. The last update date is 2023-04-11.

Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C.'s current location address is 165 N. Meramec Ave, Clayton, Missouri. You can contact this provider via phone number 3147262755 and fax number 3147269538. The mailing address for Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C. is 165 N. Meramec Ave, Clayton, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C.
Address 165 N. Meramec Ave, Clayton, Missouri
Phone Number 3147262755
Fax Number 3147269538
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BUSINESS M
Authorized Official Name Brandt M. Daun
Telephone Number 3147262755

NPI Number Detail

NPI Number 1184892028
Provider Enumeration Date 2008-02-13
Last Updated Date 2023-04-11

Provider Mailing Address Detail

Address 165 N. Meramec Ave
City Clayton
State Missouri (MO)
Post Code 631053772
Phone Number 3147262755
Fax Number 3147269538

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 12435
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
990001492 MO MEDICARE GROUP ID

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FAQs about Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C.

What is the Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C.'s unique identification number?

The Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C. has been assigned the NPI (National Provider Identifier) Number 1184892028 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C.'s facilities are geographically located?

The facilities of Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C. are physically situated at the following location: 165 N. Meramec Ave, Clayton, MO, 631053772.

What is Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C. is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1184892028 to Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C.?

The Centers for Medicare & Medicaid Services originally issued the 1184892028 to Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C. on 2008-02-13.

When was the information pertaining to Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C. most recently updated or revised?

The details related to Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2023-04-11.

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