Organization
ARCHWAY ORAL SURGERY AND DENTAL IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYMAN LOVELESS DMD, MD (OWNER / SURGEON)
(314) 328-5995
Entity
Organization
Contact information
Practice address
16 HAMPTON VILLAGE PLZ STE 200, SAINT LOUIS, MO 63109-2128
(314) 328-5995
(314) 328-5996
Mailing address
16 HAMPTON VILLAGE PLZ STE 200, SAINT LOUIS, MO 63109-2128
(314) 328-5995
(314) 328-5996
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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