Individual
DR. MICHAEL J BACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17300 OUTER 40 RD N., SUITE 103, CHESTERFIELD, MO 63005
(636) 536-5158
(636) 536-4544
Mailing address
17300 OUTER 40 RD N., SUITE 103, CHESTERFIELD, MO 63005
(636) 536-5158
(636) 536-4544
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2016006250
MO
Other
Enumeration date
04/15/2012
Last updated
09/02/2021
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