Gary Howard Shanker in Saint Louis - Orthodontics And Dentofacial Orthopedics
Gary Howard Shanker - NPI 1063498020
Gary Howard Shanker is a Orthodontics And Dentofacial Orthopedics in Saint Louis, Missouri. Gary Howard Shanker practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Gary Howard Shanker is 1063498020. The last update date is 2007-07-08.
Gary Howard Shanker's current location address is 12111 Tesson Ferry Professional Ctr, Saint Louis, Missouri. You can contact this provider via phone number 3148424105 and fax number 3148423580. The mailing address for Gary Howard Shanker is 12111 Tesson Ferry Professional Ctr, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Howard Shanker |
|---|---|
| Address | 12111 Tesson Ferry Professional Ctr, Saint Louis, Missouri |
| Phone Number | 3148424105 |
| Fax Number | 3148423580 |
| Sole Proprietor | X |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1063498020 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12111 Tesson Ferry Professional Ctr |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631281250 |
| Phone Number | 3148424105 |
| Fax Number | 3148423580 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 363 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gary Howard Shanker by the Centers for Medicare & Medicaid Services?
The Gary Howard Shanker has been assigned the NPI (National Provider Identifier) 1063498020 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Gary Howard Shanker's facilities are situated?
The facilities of Gary Howard Shanker are physically located at the following address: 12111 Tesson Ferry Professional Ctr, Saint Louis, MO, 631281250.
What is Gary Howard Shanker's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary Howard Shanker's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063498020 to Gary Howard Shanker?
The Gary Howard Shanker received its 1063498020 assignment from the Centers for Medicare & Medicaid Services on 2005-12-21.
When was the information pertaining to Gary Howard Shanker most recently updated or revised?
The details related to Gary Howard Shanker, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.