Individual
DR. PAUL DOUGLAS EDGERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., MDS
Contact information
Practice address
14377 WOODLAKE DR STE 206, CHESTERFIELD, MO 63017-5735
(314) 878-8880
(314) 658-9940
Mailing address
14377 WOODLAKE DR STE 206, CHESTERFIELD, MO 63017-5735
(314) 878-8880
(314) 658-9940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2015014360
MO
1223P0700X
Prosthodontics
Primary
2015014360
MO
Other
Enumeration date
07/24/2014
Last updated
01/30/2024
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