Organization · Type 2 NPI

Gregory S. St. John, Dds, PC

Dental Clinic/Center · Wildwood, MO

NPI number 1174775407 Active

Practice location

16429 Village Plaza View Dr
Wildwood, MO 63011-4913

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X014718 (MO)

Dental Clinic/Center: Definition to come...

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About NPI 1174775407

Gregory S. St. John, Dds, PC's National Provider Identifier is 1174775407, issued on Oct 17, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Wildwood, MO. The record was last updated on Oct 17, 2008.