Organization
MIDWEST DENTAL SLEEP MEDICINE INSTITUTE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MICHAEL GOTSIS DDS (PRESIDENT/OWNER)
(314) 291-9000
Entity
Organization
Contact information
Practice address
12266 DE PAUL DR, SUITE 325, BRIDGETON, MO 63044-2514
(314) 291-9000
(314) 291-0590
Mailing address
12266 DE PAUL DR, SUITE 325, BRIDGETON, MO 63044-2514
(314) 291-9000
(314) 291-0590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015476
MO
Other
Enumeration date
08/07/2014
Last updated
10/21/2014
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