16111 Manchester Road, L.l.c. is a Dental Clinic in Ellisville, Missouri. It is located at 428 Old State Rd., Ellisville, MO and its contact number is 636-391-6030. The authorized person for 16111 Manchester Road, L.l.c. is Mr. Charles M. Zieba
who is Dentist/owner of the clinic and their contact number is 636-391-6030. The primary license number for 16111 Manchester Road, L.l.c. is 2000169958 (General Practice) in Missouri. 16111 Manchester Road, L.l.c. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
16111 Manchester Road, L.l.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
16111 Manchester Road, L.l.c.
Specialization:
General Practice Dentistry
Clinic Address:
428 Old State Rd., Ellisville, Missouri, 63021
Phone:
636-391-6030
Fax:
636-527-8386
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:
Mr. Charles M. Zieba
Position:
Dentist/owner
Contact Number:
636-391-6030
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 16111 Manchester Road, L.l.c. clinic are as mentioned below.
NPI Number:
1013386598
NPI Enumeration Date:
15 Sep, 2015
NPI Last Update On:
15 Sep, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 16111 Manchester Road, L.l.c. are as mentioned below.
Specialization
License Number
State
Status
General Practice
2000169958
Missouri
Primary
General Practice
2000165488
Missouri
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
16111 Manchester Road, L.l.c. 428 Old State Rd., Ellisville, Missouri
Zip:
63021
Phone Number:
636-391-6030
Fax Number:
636-527-8386
Patients can reach 16111 Manchester Road, L.l.c. at 428 Old State Rd., Ellisville, Missouri or can call to book an appointment on 636-391-6030. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.