Organization
ARCHWAY ENDODONTICS LLC
Active
Other names
Archway Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TYMAN LOVELESS DMD, MD (OWNER)
(314) 916-5757
Entity
Organization
Contact information
Practice address
16 HAMPTON VILLAGE PLZ STE 225, SAINT LOUIS, MO 63109-2128
(314) 916-5757
(314) 916-5758
Mailing address
16 HAMPTON VILLAGE PLZ STE 225, SAINT LOUIS, MO 63109-2128
(314) 916-5757
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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