Individual provider · Type 1 NPI

Peter Zagursky Jr., DDS

Oral and Maxillofacial Surgery (Dentist) · St. Louis, MO

NPI number 1811960818 Active

Practice location

12647 Olive Blvd, Suite 600
St. Louis, MO 63141-6345

Call (800) 325-3982 Map

Fax (877) 685-9866

Mailing address

3521 Smithville Dr
Dunkirk, MD 20754-9665

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X10766 (MD)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1811960818

Peter Zagursky Jr., DDS's National Provider Identifier is 1811960818, issued on Feb 9, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2026.