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James E Lillenberg Dds Inc
Point of Service in Saint Louis, Missouri
NPI 1619425337

James E Lillenberg Dds Inc is a Point of Service based in Saint Louis, MO. James E Lillenberg Dds Inc practices in Saint Louis, MO. The NPI Number for James E Lillenberg Dds Inc is 1619425337 and holds a License No. 012959 (Missouri).

The current practice location address for James E Lillenberg Dds Inc is 11428 Tesson Ferry Rd, Saint Louis, MO and can be reached out via phone at 314-842-0256 and via fax at 314-842-0259.

Location: 11428 Tesson Ferry Rd, Saint Louis, MO, 63123-6925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619425337
Provider Name
James E Lillenberg Dds Inc
Credential
Provider Entity Type
Organization
Address
11428 Tesson Ferry Rd, Saint Louis, MO, 63123-6925
Phone Number
314-842-0256
Fax Number
314-842-0259
Provider Enumeration Date
09/12/2016
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
11428 Tesson Ferry Rd
City
Saint Louis
State
Missouri
Zip
63123-6925
Phone Number
314-842-0256
Fax Number
314-842-0259
person
Provider Business Mailing Address Details
Address
11428 Tesson Ferry Rd
City
Saint Louis
State
Missouri
Zip
63123-6925
Phone Number
314-842-0256
Fax Number
314-842-0259
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
012959 (Missouri)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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