# MISSOURI COLLEGE, INC.

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

## Provider details

- **NPI number:** 1639436181
- **Authorized official:** MRS. NICOLE GRAMLICH MAOM (CAMPUS DIRECTOR)
- **Authorized official phone:** (314) 768-7806

## Contact information

- **Practice address:** 1405 S HANLEY RD, BRENTWOOD, MO 63144-2902
- **Practice address phone:** (314) 768-7800
- **Practice address fax:** (314) 768-7900
- **Mailing address:** 1405 S HANLEY RD, BRENTWOOD, MO 63144-2902
- **Mailing address phone:** (314) 768-7800
- **Mailing address fax:** (314) 768-7900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 010357 | MO | Yes |

## Other

- **Enumeration date:** 04/20/2012
- **Last updated:** 04/20/2012