NPI 1093236937

Alyssa a Phinney

Practitioner Dentist O Fallon, MO

Practice location

Address: 3009 Winghaven Blvd, O Fallon, MO 63368-3600
Phone: (636) 561-5160
Fax: (636) 561-4069

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 2017022419 (MO)

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Registry record

NPI: 1093236937
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2017
Record last updated: 21 Jul 2022

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.