William L Mastorakos in St Louis - Orthodontics And Dentofacial Orthopedics
William L Mastorakos - NPI 1063527604
William L Mastorakos is a Orthodontics And Dentofacial Orthopedics in St Louis, Missouri. William L Mastorakos practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for William L Mastorakos is 1063527604. The last update date is 2007-07-08.
William L Mastorakos's current location address is 10115 Manchester Rd, St Louis, Missouri. You can contact this provider via phone number 3149664117 and fax number 3149668630. The mailing address for William L Mastorakos is 10115 Manchester Rd, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William L Mastorakos |
|---|---|
| Address | 10115 Manchester Rd, St Louis, Missouri |
| Phone Number | 3149664117 |
| Fax Number | 3149668630 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1063527604 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10115 Manchester Rd |
|---|---|
| City | St Louis |
| State | Missouri (MO) |
| Post Code | 63122 |
| Phone Number | 3149664117 |
| Fax Number | 3149668630 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 13600 |
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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 William L Mastorakos by the Centers for Medicare & Medicaid Services?
The William L Mastorakos has been assigned the NPI (National Provider Identifier) 1063527604 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the William L Mastorakos located?
The William L Mastorakos is located at 10115 Manchester Rd, St Louis, MO 63122.
What is the William L Mastorakos's area of specialization and corresponding taxonomy classification?
The William L Mastorakos's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1063527604 to William L Mastorakos?
The William L Mastorakos received its 1063527604 assignment from the Centers for Medicare & Medicaid Services on 2006-08-21.
When was the information related to William L Mastorakos most recently updated or refreshed?
The details pertaining to the William L Mastorakos, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.