# ORAL AND MAXILLOFACIAL SURGEONS INC

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

## Provider details

- **NPI number:** 1205946787
- **Authorized official:** DR. KENNETH E KRAM DMD (ORAL SURGEON)
- **Authorized official phone:** (314) 569-2201

## Contact information

- **Practice address:** 456 N NEW BALLAS RD, SUITE 249, CREVE COEUR, MO 63141-6831
- **Practice address phone:** (314) 569-2201
- **Practice address fax:** (314) 569-2320
- **Mailing address:** 456 N NEW BALLAS RD, SUITE 249, CREVE COEUR, MO 63141-6831
- **Mailing address phone:** (314) 569-2201
- **Mailing address fax:** (314) 569-2320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 13560 | MO | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 09/25/2008