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Contact Information

RIVER CITY ENDODONTICS
113 CHURCH ST
O'FALLON, MO63366-2894
 Phone: 636-362-4040
 Fax: 636-362-4141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for RIVER CITY ENDODONTICS

NPI Number 1043899677
LBN Legal business name RIVER CITY ENDODONTICS
Authorized official MATTHEW WALKER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2021
Last updated 12/12/2021 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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