Individual
DR. JOHN C G'SELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., F.A.G.D.
Contact information
Practice address
177 CONCORD PLAZA SHOPPING CTR, SAINT LOUIS, MO 63128-1307
(314) 849-8888
(314) 849-8043
Mailing address
177 CONCORD PLAZA SHOPPING CTR, SAINT LOUIS, MO 63128-1307
(314) 849-8888
(314) 849-8043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13477
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104269
FEDERAL BLUE CROSS INS
MO
01
—
106747
UNITED CONCORDIA PROVIDER
MO
Enumeration date
03/21/2007
Last updated
07/08/2007
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