Organization
EDGERLEY DENTAL LLC
Active
Other names
Chesterfield Woodlake Dental and Prosthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DOUGLAS EDGERLEY DDS, MDS (PROSTHODONTIST/DENTIST)
(314) 878-8880
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
01/30/2024
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