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Organization

O'FALLON FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALAN JOHNSON (OWNER)
(636) 978-2226
Entity
Organization

Contact information

Practice address
126 TRIAD CTR W, O FALLON, MO 63366-7541
(636) 978-2226
(636) 281-1441
Mailing address
126 TRIAD CTR W, O FALLON, MO 63366-7541
(636) 978-2226
(636) 281-1441

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/28/2025
Last updated
08/28/2025
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