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

Mr. Eugenio G Herbosa, DMDMMSC

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1063593838

Mr. Eugenio G Herbosa, DMDMMSC is a Maxillofacial Surgery in St. Louis, Missouri. Qualified in 1985, 41 years ago. Practices with Greater St Louis Oral and Maxillofacial Surgery PC, a 4-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
41
Licensed in
MO
In the registry since
2006

Practice location Address checks out

12818 Tesson Ferry Rd Ste 204
St. Louis, MO 63128
Phone: (314) 842-0020
Fax: (314) 842-1590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 15229 (MO)

Record details

NPI number1063593838
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDMMSC
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Greater St Louis Oral And Maxillofacial Surgery Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in St. Louis