Healthcare Provider Details
I. General information
NPI: 1316348451
Provider Name (Legal Business Name): ELIZABETH BINZ D.D.S., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/09/2014
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14377 WOODLAKE DR STE 214
CHESTERFIELD MO
63017-5735
US
IV. Provider business mailing address
14377 WOODLAKE DR STE 214
CHESTERFIELD MO
63017-5735
US
V. Phone/Fax
- Phone: 314-434-2101
- Fax:
- Phone: 314-434-2101
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 2014016078 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 019.029773 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: