Creve Coeur Periodontics, Inc.

LBN: Creve Coeur Periodontics, Inc.
Creve Coeur Periodontics, Inc. is an health care organization with primary practice located at 11709 Old Ballas Rd Suite 206, Creve Coeur MO 63141-7029. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Creve Coeur Periodontics, Inc. can be contacted via phone (314) 567-3760, or through Assaf, Marwan via phone (314) 567-3760.

Contact Information

Primary practice address
11709 Old Ballas Rd Suite 206 Creve Coeur MO 63141-7029
Fax: (314) 567-3929
Website:
Authorized official contact:
Name: Assaf, Marwan D.M.D., M.S.D.

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 14247 Missouri

Profile Details

NPI number 1174799415
LBN Legal business name Creve Coeur Periodontics, Inc.
DBA Doing business as
Authorized official Assaf, Marwan D.M.D., M.S.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2008
Last updated May 6th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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