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NPI Code Detail

MEDICARE: EVGENYIA ALWORTH

MEDICARE: EVGENYIA ALWORTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist2013036795MO

General Provider Information

NPI Number : 1619809308
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVGENYIA ALWORTH
Provider Business Mailing Address
First Line : 4353 CHATEAU DE VILLE DR APT H
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-1827
Country : US
Telephone Number : 513-984-1800
Fax Number : 513-984-4909
Provider Business Practice Location Address
First Line : 4353 CHATEAU DE VILLE DR APT H
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-1827
Country : US
Telephone Number : 513-984-1800
Fax Number : 513-984-4909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ EVGENYIA ALWORTH ” Practice Location

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