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16111 Manchester Road, L.L.C. — NPI 1013386598, Ellisville, MO | NPI Central

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NPI 1013386598

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16111 Manchester Road, L.L.C.

NPI 1013386598 · General Practice Dentistry · Ellisville, MO

Provider details

NPI number: 1013386598
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Authorized official: Charles Zieba, Dentist/Owner
License: 2000165488 (MO)

Practice location

428 Old State Rd.

Ellisville, MO 63021

Phone: (636) 391-6030

Fax: (636) 527-8386

More MO providers

Mailing address

428 Old State Rd.

Ellisville, MO 63021

Registry dates

Enumerated: 2015-09-15
Last updated: 2015-09-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.