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Contact Information

FRYE DENTAL GROUP
7843 OLIVE BLVD
SAINT LOUIS, MO63130
 Phone: 314-863-3772
 Fax: 314-863-3857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for FRYE DENTAL GROUP

NPI # 1265498844
LBN Legal business name FRYE DENTAL GROUP
Authorized official DERRICK FRYE - (PRESIDENT DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MO License # DE015374
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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