IndividualActive
Marwan Assaf, DMD,MSD
NPI 1861523581 · Periodontics · Saint Louis, MO
Provider details
- NPI number
- 1861523581
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD,MSD
- Sex
- Male
- Sole proprietor
- No
- License
- 014247 (MO)
Specialties & taxonomies
Dental Providers
Practice location
11709 Old Ballas Rd
Suite 206
Saint Louis, MO 63141-7029
Phone: (314) 567-3760
Fax: (314) 567-3929
Approximate (ZIP-level) locationGet directions
Mailing address
11709 Old Ballas Rd
Saint Louis, MO 63141-7029
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2008-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.