Individual
PADEN JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
31 OFALLON SQ, O FALLON, MO 63366-3034
(636) 240-1750
Mailing address
31 OFALLON SQ, O FALLON, MO 63366-3034
(636) 240-1750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4450
AR
1223G0001X
General Practice Dentistry
Primary
2020025301
MO
Other
Enumeration date
07/24/2020
Last updated
12/17/2024
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