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NPI 1912966896

IndividualActive

Peter Durso, DDS

NPI 1912966896 · Periodontics · St Louis, MO

Provider details

NPI number: 1912966896
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 011726 (MO)

Practice location

11810 Gravois

St Louis, MO 63127

Phone: (314) 842-5000

More MO providers

Mailing address

11810 Gravois

St Louis, MO 63127

Registry dates

Enumerated: 2006-03-21
Last updated: 2007-07-08

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

Peter Durso, DDS — NPI 1912966896, St Louis, MO | NPI Central