Morel-Maynard, Dominic

Morel-Maynard, Dominic is an sole proprietor health care provider with primary practice located at 621 S New Ballas Rd Ste 16A , Saint Louis MO 63141-8239. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Morel-Maynard, Dominic can be contacted via phone (314) 251-6725.

Contact Information

Primary practice address
621 S New Ballas Rd Ste 16A Saint Louis MO 63141-8239
Phone: (314) 251-6725
Fax: (314) 251-6726
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2018010876 Missouri
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN 21761 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1073800520
LBN Legal business name Morel-Maynard, Dominic
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2011
Last updated Jan 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers