Individual
DR. JEFFRY L CUPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
928 BROOKWOOD CTR, FENTON, MO 63026-3474
(636) 349-4970
Mailing address
928 BROOKWOOD CTR, FENTON, MO 63026-3474
(636) 349-4970
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12399
MO
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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