Individual
DR. ANTHONY JOHN TEGENKAMP IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3802 S LINDBERGH BLVD, SUITE 108, SAINT LOUIS, MO 63127-1384
(314) 842-2038
(314) 842-8498
Mailing address
3802 S LINDBERGH BLVD, SUITE 108, SAINT LOUIS, MO 63127-1384
(314) 842-2038
(314) 842-8498
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016061
MO
Other
Enumeration date
03/26/2007
Last updated
04/23/2014
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