Individual provider · Type 1 NPI

George V. Duello, DDS, MS

Periodontics · St. Louis, MO

NPI number 1174746564 Active

Practice location

3555 Sunset Office Dr, Suite C105
St. Louis, MO 63127-1015

Fax (314) 965-8113

Mailing address

309 Greenbriar Estates Dr
St. Louis, MO 63122-3350

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X00598 (MO)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1174746564

George V. Duello, DDS, MS's National Provider Identifier is 1174746564, issued on Apr 11, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.