Organization
ACTON DENTAL, LLC
Active
Other names
actondentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW S SLAVEN DDS, MSD (DENTIST/OWNER)
(636) 226-5440
Entity
Organization
Contact information
Practice address
1871 W PEARCE BLVD, WENTZVILLE, MO 63385-3302
(636) 327-5600
(636) 332-5601
Mailing address
1871 W PEARCE BLVD, WENTZVILLE, MO 63385-3302
(636) 327-5600
(636) 332-5601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2005014238
MO
1223G0001X
General Practice Dentistry
2008016064
MO
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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