Faddis, Michael
Faddis, Michael is an individual health care provider with primary practice located at 2440 S Brentwood Blvd , Saint Louis MO 63144-2321. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Faddis, Michael can be contacted via phone (314) 962-6643.Contact Information
Primary practice address
2440 S Brentwood Blvd
Saint Louis MO 63144-2321
Phone: (314) 962-6643
Fax: (314) 962-2205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 013100 | Missouri |
Profile Details
| NPI number | 1114088036 |
|---|---|
| LBN Legal business name | Faddis, Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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