Gateway Oral and Maxillofacial Surgeons of St Louis, P.c.

NPI #1184892028 in Clayton, Missouri

Provider Information

NPI Number: 1184892028
Entity Type: Organization
Organization Name: Gateway Oral and Maxillofacial Surgeons of St Louis, P.c.
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Feb 13, 2008
Last Updated: Apr 11, 2023

Practice Location

Address: 165 N. MERAMEC AVE
Address 2: SUITE 300
City: Clayton
State: Missouri
ZIP Code: 63105-3772
Phone: (314) 726-2755

Authorized Official

Name: MRS. DAUN M. BRANDT
Title: BUSINESS MANAGER
Phone: (314) 726-2755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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