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Contact Information

JEROME SHATOFF, DDS
204 S CLAY AVE
KIRKWOOD, MO63122
 Phone: 314-821-2650
 Fax: 314-821-5141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for JEROME SHATOFF · (Male)

NPI # 1194875666
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/10/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 12459
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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