NPI 1043899677
River City Endodontics
Practice location
- Address
- 113 Church St, O Fallon, MO 63366-2894
- Phone
- (636) 362-4040
- Fax
- (636) 362-4141
Authorised official
- Name
- Matthew James Walker
- Title
- Owner
- Phone
- (636) 362-4040
Registered specialties
Endodontics
Primary
Registry record
- NPI
- 1043899677
- Entity type
- Organization
- NPI issued
- 2 Apr 2021
- Record last updated
- 12 Dec 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.