# ALLEN SCLAROFF DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University Oral & Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114190220
- **Authorized official:** DR. ALLEN SCLAROFF DDS (OWNER)
- **Authorized official phone:** (314) 453-9705

## Contact information

- **Practice address:** 1 BARNES JEWISH HOSPITAL PLZ, SUITE 16432, SAINT LOUIS, MO 63110-1003
- **Practice address phone:** (314) 361-6006
- **Practice address fax:** (314) 631-6599
- **Mailing address:** 1040 N MASON, SUITE 207, CREVE COEUR, MO 63141
- **Mailing address phone:** (314) 453-9705
- **Mailing address fax:** (314) 453-9706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 012170 | MO | Yes |

## Other

- **Enumeration date:** 04/09/2008
- **Last updated:** 04/23/2008