IndividualActive
Alyssa Phinney
NPI 1093236937 · Dentist · O Fallon, MO
Provider details
- NPI number
- 1093236937
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2017022419 (MO)
Specialties & taxonomies
Dental Providers
Practice location
3009 Winghaven Blvd
O Fallon, MO 63368-3600
Phone: (636) 561-5160
Fax: (636) 561-4069
Approximate (ZIP-level) locationGet directions
Mailing address
3009 Winghaven Blvd
O Fallon, MO 63368-3600
Registry dates
- Enumerated
- 2017-06-30
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.