St. Louis South Oral & Maxillofacial Surgery, Inc. is a Oral and Maxillofacial Dental Clinic in Festus, Missouri. It is located at 1155 E Gannon Dr, Festus, MO and its contact number is 636-931-4699. The authorized person for St. Louis South Oral & Maxillofacial Surgery, Inc. is Ms. Peggy S. Carothers
who is Office Manager of the clinic and their contact number is 314-842-4699. The primary license number for St. Louis South Oral & Maxillofacial Surgery, Inc. is 015277 (Oral and Maxillofacial Surgery) in Missouri. St. Louis South Oral & Maxillofacial Surgery, Inc. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
St. Louis South Oral & Maxillofacial Surgery, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
St. Louis South Oral & Maxillofacial Surgery, Inc.
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
1155 E Gannon Dr, Festus, Missouri, 63028-2611
Phone:
636-931-4699
Fax:
636-931-5110
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Peggy S. Carothers
Position:
Office Manager
Contact Number:
314-842-4699
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for St. Louis South Oral & Maxillofacial Surgery, Inc. clinic are as mentioned below.
NPI Number:
1366657405
NPI Enumeration Date:
11 May, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St. Louis South Oral & Maxillofacial Surgery, Inc. are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
015277
Missouri
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
St. Louis South Oral & Maxillofacial Surgery, Inc. 1155 E Gannon Dr, Festus, Missouri
Zip:
63028-2611
Phone Number:
636-931-4699
Fax Number:
636-931-5110
Patients can reach St. Louis South Oral & Maxillofacial Surgery, Inc. at 1155 E Gannon Dr, Festus, Missouri or can call to book an appointment on 636-931-4699. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.