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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.