Individual provider · Type 1 NPI
Marshall Cornelius Freerks Jr., DDS
Dental Clinic/Center · St. Louis, MO
NPI number
1346488236
Active
Practice location
6744 Clayton Rd., Suite 204
St. Louis, MO 63117-1634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 14600 (MO) |
| Dental Clinic/Center Primary | 261QD0000X | 14600 (MO) |
Dental Clinic/Center: Definition to come...
About NPI 1346488236
Marshall Cornelius Freerks Jr., DDS's National Provider Identifier is 1346488236, issued on Jan 30, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 30, 2009.