# EDWARD S CZEBRINSKI DMD PC

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

## Provider details

- **NPI number:** 1376607416
- **Authorized official:** DR. EDWARD STEVEN CZEBRINSKI DMD (PRESIDENT OWNER SURGEON)
- **Authorized official phone:** (314) 878-1401

## Contact information

- **Practice address:** 77 WESTPORT PLAZA MEDICAL CENTER, SUITE 356, SAINT LOUIS, MO 63146
- **Practice address phone:** (314) 878-1401
- **Mailing address:** 77 WESTPORT PLAZA MEDICAL CENTER, SUITE 356, SAINT LOUIS, MO 63146
- **Mailing address phone:** (314) 878-1401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | MO GEN \#011763 | MO | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | MO SPEC \#00483 | MO | — |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 08/22/2020