person
Dr. Kenneth Clark Priddy, DDS
Oral and Maxillofacial Surgery (Dentist) in Wentzville, Missouri
NPI 1598127672

Kenneth Clark Priddy is a Oral and Maxillofacial Surgery (Dentist) based in Saint Peters, MO and is specialized in Oral and Maxillofacial Surgery. Kenneth Clark Priddy practices in Wentzville, MO and has the professional credentials of DDS. The NPI Number for Kenneth Clark Priddy is 1598127672 and holds a License No. 2021048521 (Missouri).

The current practice location address for Kenneth Clark Priddy is 853 Medical Dr Ste 115, Wentzville, MO and can be reached out via phone at 636-887-3100 and via fax at 636-887-3102. You can also correspond with Kenneth Clark Priddy through the mailing address at 1 MID RIVERS MALL DR STE 310, SAINT PETERS, MO - 63376-4323 (mailing address contact number: 636-928-7217).

Location: 853 Medical Dr Ste 115, Wentzville, MO, 63376-4323
person
Provider Profile Details
NPI Number
1598127672
Provider Name
Kenneth Clark Priddy
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
853 Medical Dr Ste 115, Wentzville, MO, 63376-4323
Phone Number
636-887-3100
Fax Number
636-887-3102
Provider Enumeration Date
03/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
853 Medical Dr Ste 115
City
State
Zip
63385-3825
Phone Number
636-887-3100
Fax Number
636-887-3102
person
Provider Business Mailing Address Details
Address
853 Medical Dr Ste 115
City
State
Zip
63385-3825
Phone Number
636-887-3100
Fax Number
636-887-3102
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
2021048521 (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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