Individual provider · Type 1 NPI

Tawana Kieshawn Ware, DDS

Pediatric Dentistry · Creve Coeur, MO

NPI number 1790852267 Active

Practice location

11709 Old Ballas Rd, Suite 104
Creve Coeur, MO 63141

Fax (314) 567-0260

Mailing address

2050 Bluestone Dr
St. Charles, MO 63303-5977

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X2004018645 (MO)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1790852267

Tawana Kieshawn Ware, DDS's National Provider Identifier is 1790852267, issued on Nov 29, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Creve Coeur, MO. The record was last updated on Oct 2, 2007.