OrganizationActive
Gateway Oral and Maxillofacial Surgeons of St Louis, P.C.
NPI 1184892028 · Oral and Maxillofacial Surgery (Dentist) · Clayton, MO
Provider details
- NPI number
- 1184892028
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Daun Brandt, Business Manager(314) 726-2755
- License
- 12435 (MO)
Specialties & taxonomies
Dental Providers
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
Other names (DBA / former)
- Former legal business name
- Travis & Nolen Oral & Maxillofacial Surgery, P.C.
Registry dates
- Enumerated
- 2008-02-13
- 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.