Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ear Nose & Throat & Plastic Surg Inc

Organization Facial Plastic Surgery Physician · NPI 1104911288

Ear Nose & Throat & Plastic Surg Inc is a Facial Plastic Surgery Physician in Saint Louis, Missouri. Works from 3 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2325 Dougherty Ferry Rd Ste 106
Saint Louis, MO 63122-3356
Phone: (314) 821-5002
Fax: (314) 821-5029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 12277 Depaul Dr Ste 303, Bridgeton, MO 63044-2529 — (314) 821-5002
  • 4800 Mexico Rd Ste 103, Saint Peters, MO 63376-1666 — (314) 821-5002

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X (MO)

Record details

NPI number1104911288
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Barnes — President · (314) 821-5002
NPI enumeratedOctober 4, 2006
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address2325 Dougherty Ferry Rd Ste 106, Saint Louis, MO 63122-3356

Other providers in Saint Louis