Organization
JEFFERSON COUNTY HEALTH DEPARTMET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYANN LEE SUMMERFORD BS (DENTAL PROGRAM COORDINATOER)
(636) 282-1010
Entity
Organization
Contact information
Practice address
1818 LONEDELL RD, ARNOLD, MO 63010-1050
(636) 282-1010
(636) 282-2525
Mailing address
1818 LONEDELL RD, ARNOLD, MO 63010-1050
(636) 282-1010
(636) 282-2525
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
16116011
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002932
HYGIENIST STATE LICENCE
MO
Enumeration date
02/09/2007
Last updated
08/23/2007
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