Individual
DR. SEVERIN MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4169 N HIGHWAY 67, FLORISSANT, MO 63034-2825
(314) 653-1200
(314) 653-6538
Mailing address
17826 ARGONNE ESTATES DR, FLORISSANT, MO 63034-1334
(314) 541-4850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021020348
MO
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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