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Contact Information

ENDODONTICS SOUTH, LTD
1431 US HWY 61 SO
FESTUS, MO63028
 Phone: 636-933-7001
 Fax: 636-933-7002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ENDODONTICS SOUTH, LTD

NPI Number 1770713265
LBN Legal business name ENDODONTICS SOUTH, LTD
Authorized official MARVIN SPEER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2009
Last updated 07/20/2009 - About 17 years ago
Identifiers
MO License # 012432
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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