DR. Michael Faddis, DDS
NPI #1114088036 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1114088036
- Entity Type
- Individual
- Name
- DR. Michael Faddis, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2440 S BRENTWOOD BLVD
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63144-2321
- Phone
- (314) 962-6643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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