Organization · Type 2 NPI

Ryan Rader Enterprises DMD LLC

Periodontics · Creve Coeur, MO

NPI number 1255759197 Active

Practice location

11709 Old Ballas Rd, Ste 206
Creve Coeur, MO 63141-7029

Call (314) 567-3760 Map

Fax (314) 567-3929

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X2006016236 (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 1255759197

Ryan Rader Enterprises DMD LLC's National Provider Identifier is 1255759197, issued on Mar 28, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Creve Coeur, MO. The record was last updated on Mar 28, 2014.