Healthcare Provider Details

I. General information

NPI: 1487854378
Provider Name (Legal Business Name): DAMIAN H FINDLAY D.M.D., M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 12/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 S NEW BALLAS RD STE 16A
SAINT LOUIS MO
63141-8232
US

IV. Provider business mailing address

621 S NEW BALLAS RD STE 16A
SAINT LOUIS MO
63141-8232
US

V. Phone/Fax

Practice location:
  • Phone: 314-251-6725
  • Fax: 314-251-6726
Mailing address:
  • Phone: 314-251-6725
  • Fax: 314-251-6726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number2015012811
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: