# JEFFERSON COUNTY HEALTH DEPARTMET

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093856163
- **Authorized official:** RYANN LEE SUMMERFORD BS (DENTAL PROGRAM COORDINATOER)
- **Authorized official phone:** (636) 282-1010

## Contact information

- **Practice address:** 1818 LONEDELL RD, ARNOLD, MO 63010-1050
- **Practice address phone:** (636) 282-1010
- **Practice address fax:** (636) 282-2525
- **Mailing address:** 1818 LONEDELL RD, ARNOLD, MO 63010-1050
- **Mailing address phone:** (636) 282-1010
- **Mailing address fax:** (636) 282-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 16116011 | MO | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 08/23/2007