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Gerusa Mello-anderson, DDS
Pediatric Dentist in O Fallon, Illinois
NPI 1790871721

Gerusa Mello-anderson is a Pediatric Dentist based in O Fallon, IL and is specialized in Pediatric Dentistry. Gerusa Mello-anderson practices in O Fallon, IL and has the professional credentials of DDS. The NPI Number for Gerusa Mello-anderson is 1790871721 and holds a License No. (Illinois).

The current practice location address for Gerusa Mello-anderson is 4945 Stone Falls Ctr, O Fallon, IL and can be reached out via phone at 618-622-0212 and via fax at 618-622-1996.

Location: 4945 Stone Falls Ctr, O Fallon, IL, 62269-7802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790871721
Provider Name
Gerusa Mello-anderson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
4945 Stone Falls Ctr, O Fallon, IL, 62269-7802
Phone Number
618-622-0212
Fax Number
618-622-1996
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4945 Stone Falls Ctr
City
O Fallon
State
Illinois
Zip
62269-7802
Phone Number
618-622-0212
Fax Number
618-622-1996
person
Provider Business Mailing Address Details
Address
4945 Stone Falls Ctr
City
O Fallon
State
Illinois
Zip
62269-7802
Phone Number
618-622-0212
Fax Number
618-622-1996
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
(Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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