Organization · Type 2 NPI

16111 Manchester Road, L.l.c.

General Practice Dentistry · Ellisville, MO

NPI number 1013386598 Active

Practice location

428 Old State Rd.
Ellisville, MO 63021

Fax (636) 527-8386

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2000169958 (MO)
General Practice Dentistry 1223G0001X2000165488 (MO)

General Practice Dentistry: 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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About NPI 1013386598

16111 Manchester Road, L.l.c.'s National Provider Identifier is 1013386598, issued on Sep 15, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ellisville, MO. The record was last updated on Sep 15, 2015.