Dr. Jerome Shatoff, DDS
Dentist, Prosthodontics in Kirkwood, MO. Individual provider (NPI-1).
NPI number1194875666
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1194875666
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jerome Shatoff
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | 12459 | MO | Yes |
Practice location
204 S Clay AveKirkwood, MO 63122
Phone 314-821-2650 · Fax 314-821-5141
Mailing address
204 S Clay AveKirkwood, MO 63122
Phone 314-821-2650 · Fax 314-821-5141
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