Individual
DR. ALEXANDER HEATRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MPH,MS
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ BLDG SUITE230, SAINT LOUIS, MO 63110-1003
(314) 361-6006
(314) 453-1675
Mailing address
1 BARNES JEWISH HOSPITAL PLZ BLDG SUITE230, SAINT LOUIS, MO 63110-1003
(314) 361-6006
(314) 453-1675
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2020012236
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400086802
—
MO
Enumeration date
05/26/2011
Last updated
10/17/2022
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