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NPI 1154576890

OrganizationActive

Mcleod Periodontics

NPI 1154576890 · Periodontics · Hazelwood, MO

Provider details

NPI number: 1154576890
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Parent organization: Mcleod Periodontics
Authorized official: Dwight Mcleod, Owner
License: 015787 (MO)

Practice location

5992 Howdershell Rd

Suite 204

Hazelwood, MO 63042-4107

Phone: (314) 731-1700

Fax: (314) 731-1784

More MO providers

Mailing address

5992 Howdershell Rd.

Hazelwood, MISSOURI 63042

Registry dates

Enumerated: 2008-11-21
Last updated: 2008-11-21

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

Mcleod Periodontics — NPI 1154576890, Hazelwood, MO | NPI Central