IndividualActive
Eugenio Herbosa, DMD MMSC
NPI 1063593838 · Oral & Maxillofacial Surgery (D.M.D.) · St Louis, MO
Provider details
- NPI number
- 1063593838
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD MMSC
- Sex
- Male
- Sole proprietor
- No
- License
- 15229 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12818 Tesson Ferry Road
Suite 204
St Louis, MO 63128
Phone: (314) 842-0020
Fax: (314) 842-1590
Approximate (ZIP-level) locationGet directions
Mailing address
1034 S Brentwood
St Louis, MO 63128
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.