Healthcare Provider Details

I. General information

NPI: 1134251937
Provider Name (Legal Business Name): STEVEN PAUL CAJIGAL D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 W OUTER 21 RD
ARNOLD MO
63010-3239
US

IV. Provider business mailing address

1333 W OUTER 21 RD
ARNOLD MO
63010-3239
US

V. Phone/Fax

Practice location:
  • Phone: 636-296-2616
  • Fax: 636-296-9017
Mailing address:
  • Phone: 636-296-2616
  • Fax: 636-296-9017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2003007081
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: