Individual
DR. KHALED Y. SHABANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
443 N NEW BALLAS RD STE 244, CREVE COEUR, MO 63141-6800
(314) 755-1542
(314) 755-1546
Mailing address
2049 MCKELVEY RD, MARYLAND HEIGHTS, MO 63043-2307
(314) 878-2111
(314) 878-7648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2002003037
MO
1223P0300X
Periodontics
021.001930
IL
1223P0300X
Periodontics
Primary
2002003037
MO
Other
Enumeration date
11/21/2006
Last updated
01/20/2023
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