Individual
DR. PATRICK TRAUERNICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3608 FARAON ST, SAINT JOSEPH, MO 64506-3044
(816) 364-6444
(816) 364-6929
Mailing address
3608 FARAON ST, SAINT JOSEPH, MO 64506-3044
(816) 364-6444
(816) 364-6929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2005015643
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407491109
—
MO
Enumeration date
03/07/2006
Last updated
03/07/2023
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