Organization
ALEXANDER HEATRICE DDS PC
Active
Other names
Premier Institute of Oral and Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER HEATRICE DDS (OWNER)
(314) 627-1953
Entity
Organization
Contact information
Practice address
2855 N HIGHWAY 67, FLORISSANT, MO 63033-1403
(314) 627-1953
(314) 897-3385
Mailing address
2855 N HIGHWAY 67, FLORISSANT, MO 63033-1403
(314) 627-1953
(314) 897-3385
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400086802
—
MO
Enumeration date
03/07/2024
Last updated
03/07/2024
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