Numpol Dejtiranukul DMD LLC
Numpol Dejtiranukul DMD LLC is a General Practice Dentistry in O Fallon, Missouri. Licensed in Missouri. Registered with an NPI since 2008.
- Licensed in
- MO
- In the registry since
- 2008
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4122 Keaton Crossing Blvd Ste 101O Fallon, MO 63368-8218
Phone: (636) 300-4280
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 2000170243 (MO) |
|---|
Record details
| NPI number | 1043479215 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Numpol Dejtiranukul — Single Member · (636) 300-4280 |
| NPI enumerated | June 3, 2008 |
| Last updated in NPPES | June 3, 2008 |
| Mailing address | 4122 Keaton Crossing Blvd, Suite 101, O Fallon, MO 63368-8218 |
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Dr. John Pastorek, DMD
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