South County Dental Imaging Center

LBN: South County Dental Imaging Center
South County Dental Imaging Center is an health care organization with primary practice located at 12818 Tesson Ferry Rd Suite 204, Saint Louis MO 63128-2945. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. South County Dental Imaging Center can be contacted via phone (314) 722-2033, or through Monterubio, John R via phone (314) 721-1010.

Contact Information

Primary practice address
12818 Tesson Ferry Rd Suite 204 Saint Louis MO 63128-2945
Fax: (314) 842-1590
Website:
Authorized official contact:
Name: Monterubio, John R Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1053647008
LBN Legal business name South County Dental Imaging Center
DBA Doing business as
Authorized official Monterubio, John R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2009
Last updated Oct 27th, 2009 - about 15 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.

Request for update

Popular Providers