Tourkakis, Homer R
Tourkakis, Homer R is an sole proprietor health care provider with primary practice located at 3613 Richardson Square Dr Suite 100, Arnold MO 63010-6027. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Tourkakis, Homer R can be contacted via phone (636) 461-0093.Contact Information
Primary practice address
3613 Richardson Square Dr Suite 100
Arnold MO 63010-6027
Phone: (636) 461-0093
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 14159 | Missouri |
Profile Details
| NPI number | 1760463335 |
|---|---|
| LBN Legal business name | Tourkakis, Homer R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Aug 10th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760463335 | NPPES |
| Missouri | MEDICAID | 402015507 |
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