Organization
MIDWEST SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH L AUSMER D.M.D. (PRESIDENT)
(314) 653-1200
Entity
Organization
Contact information
Practice address
4169 N US HIGHWAY 67, FLORISSANT, MO 63034-2825
(314) 653-1200
(314) 653-6538
Mailing address
4169 N US HIGHWAY 67, FLORISSANT, MO 63034-2825
(314) 653-1200
(314) 653-6538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015564
MO
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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