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Gateway Oral And Maxillofacial Surgeons Of St Louis, P.c.
Oral and Maxillofacial Surgery (Dentist) in Clayton, Missouri
NPI 1184892028

Gateway Oral And Maxillofacial Surgeons Of St Louis, P.c. is a Oral and Maxillofacial Surgery (Dentist) based in Clayton, MO and is specialized in Oral and Maxillofacial Surgery. Gateway Oral And Maxillofacial Surgeons Of St Louis, P.c. practices in Clayton, MO. The NPI Number for Gateway Oral And Maxillofacial Surgeons Of St Louis, P.c. is 1184892028 and holds a License No. 12435 (Missouri).

The current practice location address for Gateway Oral And Maxillofacial Surgeons Of St Louis, P.c. is 165 N. Meramec Ave, Clayton, MO and can be reached out via phone at 314-726-2755 and via fax at 314-726-9538.

Location: 165 N. Meramec Ave, Clayton, MO, 63105-3772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184892028
Provider Name
Gateway Oral And Maxillofacial Surgeons Of St Louis, P.c.
Credential
Provider Entity Type
Organization
Address
165 N. Meramec Ave, Clayton, MO, 63105-3772
Phone Number
314-726-2755
Fax Number
314-726-9538
Provider Enumeration Date
02/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
990001492 01 MO MEDICARE GROUP ID
institution
Provider Business Practice Location Address Details
Address
165 N. Meramec Ave
City
Clayton
State
Missouri
Zip
63105-3772
Phone Number
314-726-2755
Fax Number
314-726-9538
person
Provider Business Mailing Address Details
Address
165 N. Meramec Ave
City
Clayton
State
Missouri
Zip
63105-3772
Phone Number
314-726-2755
Fax Number
314-726-9538
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
12435 (Missouri)
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.
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