Individual
JEFFREY DRISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
980 KEHRS MILL RD, BALLWIN, MO 63011-2402
(636) 230-7557
Mailing address
10374 OLD OLIVE STREET RD APT 340, SAINT LOUIS, MO 63141-5909
(314) 852-0713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2018017827
MO
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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