Creve Coeur Periodontics

LBN: Ryan Rader Enterprises Dmd Llc
Creve Coeur Periodontics is an health care organization with primary practice located at 11709 Old Ballas Rd Ste 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. Ryan Rader Enterprises Dmd Llc can be contacted via phone (314) 567-3760, or through Rader, Ryan Lee via phone (314) 567-3760.

Contact Information

Primary practice address
11709 Old Ballas Rd Ste 206 Creve Coeur MO 63141-7029
Phone: (314) 567-3760
Fax: (314) 567-3929
Website:
Map and Directions
Authorized official contact:
Name: Rader, Ryan Lee D.M.D., M.S.
Phone: (314) 567-3760

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 2006016236 Missouri

Profile Details

NPI number 1255759197
LBN Legal business name Ryan Rader Enterprises Dmd Llc
DBA Doing business as Creve Coeur Periodontics
Authorized official Rader, Ryan Lee D.M.D., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2014
Last updated Mar 28th, 2014 - about 10 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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