Gateway Little Smiles, LLC
NPI #1740860063 in Cottleville, Missouri
Provider Information
- NPI Number
- 1740860063
- Entity Type
- Organization
- Organization Name
- Gateway Little Smiles, LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Apr 11, 2021
- Last Updated
- Apr 11, 2021
Practice Location
- Address
- 4758 MID RIVERS MALL DR
- City
- Cottleville
- State
- Missouri
- ZIP Code
- 63376-2883
- Phone
- (314) 496-3562
Authorized Official
- Name
- DR. COREY HASTINGS, DDS
- Title
- OWNER
- Phone
- (314) 496-3562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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