DR. MARC GAYED (NPI# 1982870663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982870663 |
| Entity Type | Individual |
| Full Name | DR. MARC GAYED |
| Credential | D.M.D, |
| Practice Address |
4121 Elm Park Dr Saint Louis MO 63128 |
| Mailing Address |
4121 Elm Park Dr Saint Louis MO 63128-1918 |
| Practice Telephone | 3148452730 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2018012143 | MO | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
61329 | KS | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7501 Mission Rd, Prairie Village, KS 662084217 | 9136015016 |
| Street Address |
4121 ELM PARK DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700809563 | Edward Ray Miller Jr. | Dentist | 4121 Elm Park Dr, Saint Louis, MO 63128 | 2006-07-25 |
| 1932682812 | Mariah Imani Phillips | Dentist | 4121 Elm Park Dr, Saint Louis, MO 63128-1918 | 2018-09-07 |
| 1114369097 | Allison Marie Winkler | Dentist | 4121 Elm Park Dr, Saint Louis, MO 63128-1918 | 2013-07-22 |
| 1649610668 | Alex Sharifian Dds Mehlville Modern Dentistry PC | Dentist | 4121 Elm Park Dr, Saint Louis, MO 63128-1918 | 2013-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184130528 | Archway Oral Surgery and Dental Implants | Dentist | 16 Hampton Village Plz Ste 200, Saint Louis, MO 63109-2128 | 2017-12-21 |
| 1346382678 | Ramani Gowducheruvu | Dentist | 621 S New Ballas Rd Ste 16a, Saint Louis, MO 63141-8239 | 2007-02-13 |
| 1528503026 | Stewart E Moreland, Dmd, LLC | Dentist | 2821 N Ballas Rd, Suite 225, Saint Louis, MO 63131-2321 | 2016-12-20 |
| 1891107132 | Creve Coeur Oral Surgery | Dentist | 605 Old Ballas Rd, Suite 130, Saint Louis, MO 63141-7000 | 2014-05-21 |
| 1396180436 | Dustin R Altmann | Dentist | 621 S New Ballas Rd Ste 16a, Saint Louis, MO 63141-8239 | 2013-05-02 |
| 1164866125 | Gregory Stephen Tentindo | Dentist | 621 S New Ballas Rd Ste 16a, Saint Louis, MO 63141-8239 | 2013-04-22 |
| 1073800520 | Dominic Morel-maynard | Dentist | 621 S New Ballas Rd Ste 16a, Saint Louis, MO 63141-8239 | 2011-07-06 |
| 1568788925 | Collin Miles Stutz | Dentist | 605 Old Ballas Rd, Saint Louis, MO 63141-7000 | 2010-04-10 |
| 1821228628 | Robert Alexander Peter Reti | Dentist | 10000 Watson Rd, A, Saint Louis, MO 63126-1841 | 2009-07-15 |
| 1114190220 | Allen Sclaroff Dds Inc | Dentist | 1 Barnes Jewish Hospital Plz, Suite 16432, Saint Louis, MO 63110-1003 | 2008-04-09 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.