William Gordon Dewert D.M.D.

NPI 1083759518 - Dentist - 1223G0001X

NPI Details
NPI 1083759518
Gender Male
Enumeration Date 02/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
12758 BOENKER LN
BRIDGETON MO, 63044-2436, US
Phone (314) 739-3300
Fax (314) 739-0005
Business Location
411 JUMPER HILL CT
CHESTERFIELD MO, 63017-3448, US
Phone (314) 434-8504
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Missouri
License Number 012134
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According to our database, Dr. William Gordon Dewert D.M.D. NPI is 1083759518, taxonomy code is 1223G0001X and license number is 012134, license state is located at Missouri. William Gordon Dewert D.M.D. physically located at 12758 Boenker Ln, Bridgeton MO, 63044-2436. NPI Number William Gordon Dewert D.M.D. has the Individual type.

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1083759518 NPI number is provided on an as is basis without warranty of any kind. 1083759518 is maintained by the National Plan & Provider Enumeration System. The contents of William Gordon Dewert D.M.D. are for informational purposes only.