| Michael B. Dietrich, D.m.d.,p.c. | |
|
3439 Bridgeland Dr Bridgeton MO 63044-2604 | |
| (314) 291-2777 | |
| (314) 291-9873 |
| Full Name | Michael B. Dietrich, D.m.d.,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 3439 Bridgeland Dr, Bridgeton, Missouri |
| Authorized Official Name and Position | Michael Brian Dietrich (PRESIDENT) |
| Authorized Official Contact | 3142912777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael B. Dietrich, D.m.d.,p.c. 3439 Bridgeland Dr Bridgeton MO 63044-2604 Ph: (314) 291-2777 | Michael B. Dietrich, D.m.d.,p.c. 3439 Bridgeland Dr Bridgeton MO 63044-2604 Ph: (314) 291-2777 |
| NPI Number | 1467563213 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467563213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14818 (Missouri) | Primary |
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