# MICHAEL K PARSONS DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwest Oral and Maxillo Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457484222
- **Authorized official:** DR. MICHAEL KEITH PARSONS DDS (OWNER PRESIDENT)
- **Authorized official phone:** (636) 536-5158

## Contact information

- **Practice address:** 1630 MARKET CENTER BLVD, SUITE 102, O FALLON, MO 63368
- **Practice address phone:** (636) 379-1333
- **Practice address fax:** (636) 379-1334
- **Mailing address:** 17300 OUTER FORTY ROAD NORTH, SUITE 103, CHESTERFIELD, MO 63005
- **Mailing address phone:** (636) 536-5158
- **Mailing address fax:** (636) 536-4544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 11/02/2007