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General NPI Number Information
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NPI Number | 1205745734
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Entity Type | Organization
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Legal Business Name | AUGUSTINE J BORGMEYER DDS, LLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 4171 CRESCENT DR STE 102
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City | SAINT LOUIS
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State | MO
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Zip | 63129-3645
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Country | US
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Telephone | 314-200-3880
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Fax | 314-200-3879
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Provider Business Mailing Address
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Address Line | 4171 CRESCENT DR STE 102
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City | SAINT LOUIS
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State | MO
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Zip | 63129-3645
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Country | US
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Telephone | 314-200-3880
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Fax | 314-200-3879
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TERRA COTTON
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Credential | CDA
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Telephone | 314-265-3597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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