Individual
DR. JOHN JOSEPH EBELING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1360 S 5TH ST STE 214, SAINT CHARLES, MO 63301-2446
(636) 946-6747
Mailing address
1360 S 5TH ST STE 214, SAINT CHARLES, MO 63301-2446
(636) 946-6747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2018018570
MO
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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