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Dr. Ellis Basil Memos, DDS
General Practice Dentistry in St Louis, Missouri
NPI 1245340025

Ellis Basil Memos is a General Practice Dentistry based in St Louis, MO and is specialized in General Practice. Ellis Basil Memos practices in St Louis, MO and has the professional credentials of DDS. The NPI Number for Ellis Basil Memos is 1245340025 and holds a License No. 9757 (Missouri).

The current practice location address for Ellis Basil Memos is 5108 Hampton Ave, St Louis, MO and can be reached out via phone at 314-832-4816 and via fax at 314-832-4811. You can also correspond with Ellis Basil Memos through the mailing address at 5108 HAMPTON AVE, ST LOUIS, MO - 63109-3113 (mailing address contact number: 314-832-4816).

Location: 5108 Hampton Ave, St Louis, MO, 63109-3113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245340025
Provider Name
Ellis Basil Memos
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5108 Hampton Ave, St Louis, MO, 63109-3113
Phone Number
314-832-4816
Fax Number
314-832-4811
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5108 Hampton Ave
City
St Louis
State
Missouri
Zip
63109-3113
Phone Number
314-832-4816
Fax Number
314-832-4811
person
Provider Business Mailing Address Details
Address
5108 Hampton Ave
City
St Louis
State
Missouri
Zip
63109-3113
Phone Number
314-832-4816
Fax Number
314-832-4811
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9757 (Missouri)
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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