Individual
ALAN OSTROVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4430 MISSOURI AVE BLDG 310, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0198
Mailing address
4430 MISSOURI AVE BLDG 310, FORT LEONARD WOOD, MO 65473-9098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019036455
IL
122300000X
Dentist
2025050371
MO
1223G0001X
General Practice Dentistry
11869002-9921
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11869002-9921
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2025050371
MO
Other
Enumeration date
08/18/2020
Last updated
02/05/2026
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