IndividualActive
Hiran Fernando, DDS
NPI 1164634135 · Oral and Maxillofacial Surgery (Dentist) · Clayton, MO
Provider details
- NPI number
- 1164634135
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 23369 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Student, Health Care
Practice location
165 N. Meramec Ave
Suite 300
Clayton, MO 63105-3772
Phone: (314) 726-2755
Fax: (314) 726-9538
Approximate (ZIP-level) locationGet directions
Mailing address
165 N. Meramec Ave
Clayton, MO 63105-3772
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2023-04-11
- Certified
- 2023-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.