# JONATHAN T. MEARS D.M.D., LLC

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

## Provider details

- **NPI number:** 1205081379
- **Authorized official:** DR. JONATHAN T MEARS D.M.D (DENTIST)
- **Authorized official phone:** (636) 464-6668

## Contact information

- **Practice address:** 1904 RICHARDSON RD, ARNOLD, MO 63010-6012
- **Practice address phone:** (636) 464-6668
- **Mailing address:** 1904 RICHARDSON RD, ARNOLD, MO 63010-6012
- **Mailing address phone:** (636) 464-6668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 2007010353 | MO | Yes |

## Other

- **Enumeration date:** 11/17/2008
- **Last updated:** 11/17/2008