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Contact Information

SOUTHWEST ENDODONTIC ASSOC.
6651 CHIPPEWA
SUITE 323
SAINT LOUIS, MO63109
 Phone: 314-781-1919
 Fax: 314-781-0880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for SOUTHWEST ENDODONTIC ASSOC.

NPI # 1417218249
LBN Legal business name SOUTHWEST ENDODONTIC ASSOC.
Authorized official GILBERT CYR - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/07/2012
Last updated 06/07/2012 - About 14 years ago
Identifiers
MD License # 14082
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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