Individual
DR. JAMES ANDREW KOPFENSTEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
303 JUNGERMANN RD, SUITE D, SAINT PETERS, MO 63376-5366
(636) 928-8790
(636) 928-1291
Mailing address
303 JUNGERMANN RD, SUITE D, SAINT PETERS, MO 63376-5366
(636) 928-8790
(636) 928-1291
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
15057
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107455
BLUE CROSS BLUE SHIELD #
MO
01
—
605749
COMPBENEFITS FACILITY ID
IL
01
—
723952
UNITED CONCORDIA #
PA
Enumeration date
09/28/2006
Last updated
07/08/2007
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