Harvey Wayne Small D.M.D.

NPI 1043254295 - Dentist - 1223G0001X

NPI Details
NPI 1043254295
Gender Male
Enumeration Date 06/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
665 S SKINKER BLVD
FORSYTHE DENTAL GROUP
SAINT LOUIS MO, 63105-2300, US
Phone (314) 725-0988
Fax
Business Location
665 S SKINKER BLVD
FORSYTHE DENTAL GROUP
SAINT LOUIS MO, 63105-2300, US
Phone (314) 725-0988
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Missouri
License Number 12809
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According to our database, Dr. Harvey Wayne Small D.M.D. NPI is 1043254295, taxonomy code is 1223G0001X and license number is 12809, license state is located at Missouri. Harvey Wayne Small D.M.D. physically located at 665 S Skinker Blvd, Saint Louis MO, 63105-2300. NPI Number Harvey Wayne Small D.M.D. has the Individual type.

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1043254295 NPI number is provided on an as is basis without warranty of any kind. 1043254295 is maintained by the National Plan & Provider Enumeration System. The contents of Harvey Wayne Small D.M.D. are for informational purposes only.