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

Laser & Dermatologic Surgery Center, Inc

Organization MOHS-Micrographic Surgery Physician · NPI 1801862065

Laser & Dermatologic Surgery Center, Inc is an MOHS-Micrographic Surgery Physician in Chesterfield, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

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

1001 Chesterfield Pkwy E Ste 101
Chesterfield, MO 63017-2041
Phone: (314) 878-3839
Fax: (314) 878-6575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence R6H14 (MO)

Record details

NPI number1801862065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Radle — Practice Manager · (314) 878-3839
NPI enumeratedFebruary 27, 2006
Last updated in NPPESFebruary 13, 2012
Mailing address1001 Chesterfield Pkwy E, Suite 101, Chesterfield, MO 63017-2041

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