Individual provider · Type 1 NPI
Harry Jerome Fondren, DDS
General Practice Dentistry · St. Louis, MO
NPI number
1972706158
Active
Practice location
7645 Delmar Blvd
St. Louis, MO 63130-3910
Fax (314) 727-9263
Mailing address
7645 Delmar Blvd.
St. Louis, MO 63130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 12216 (MO) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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- Holly Ellis, DDSGeneral Practice Dentistry St. Louis, MO NPI 1013027937
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- Alan Samuel Levi, PHD DMDGeneral Practice Dentistry St. Louis, MO NPI 1013067164
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About NPI 1972706158
Harry Jerome Fondren, DDS's National Provider Identifier is 1972706158, issued on Jun 6, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.