Oral And Maxillofacial Surgeons Inc | |
456 N New Ballas Rd Suite 249 Creve Coeur MO 63141-6831 | |
(314) 569-2201 | |
(314) 569-2320 |
Full Name | Oral And Maxillofacial Surgeons Inc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 456 N New Ballas Rd, Creve Coeur, Missouri |
Authorized Official Name and Position | Kenneth E Kram (ORAL SURGEON) |
Authorized Official Contact | 3145692201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oral And Maxillofacial Surgeons Inc 456 N New Ballas Rd Suite 249 Creve Coeur MO 63141-6831 Ph: (314) 569-2201 | Oral And Maxillofacial Surgeons Inc 456 N New Ballas Rd Suite 249 Creve Coeur MO 63141-6831 Ph: (314) 569-2201 |
NPI Number | 1205946787 |
---|---|
Provider Enumeration Date | 08/30/2006 |
Last Update Date | 09/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205946787 | NPI | - | NPPES |
T70963 | Other | MO | MEDICARE ID- TYPE UNSPECIFIED- DR KRAM |
111519 | Other | MO | CIGNA HMO DR ABRAMS |
111520 | Other | MO | CIGNA HMO DR KRAM |
29075 | Other | MO | BCBS MED DR ABRAMS |
29086 | Other | MO | BCBS MED DR KRAM |
T80996 | Other | MO | MEDICARE ID- TYPE UNSPECIFIED- DR ABRAMS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13560 (Missouri) | Primary |
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