Alex R. Sharifian, DDS, Dentists Of St. Peters, PC
Dentist in Saint Peters, MO. Organization (NPI-2).
NPI number1225688450
StatusActive
Last updated in NPPESMar 9, 2022
Details
- NPI
- 1225688450
- Entity type
- Organization (NPI-2)
- Legal business name
- Alex R. Sharifian, DDS, Dentists Of St. Peters, PC
- Organization subpart
- No
- Enumeration date
- Sep 19, 2019
- Certification date
- Mar 9, 2022
- Last updated
- Mar 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Dentists Of St. Peters (Doing Business As)
Practice location
7080 Mexico RdSaint Peters, MO 63376-1574
Phone 636-362-6723
Mailing address
Po Box 920050Dallas, TX 75392-0050
Authorized official
Alex R Sharifian
Owner
6363626723
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