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General NPI Number Information
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NPI Number | 1548637853
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Entity Type | Organization
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Legal Business Name | CHILCUTT & STEUTERMAN, DDS, LLC
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 08/24/2015
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Provider Practice Location Address
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Address Line | 777 S NEW BALLAS RD STE. 310 WEST
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8705
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Country | US
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Telephone | 314-569-3660
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Fax |
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Provider Business Mailing Address
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Address Line | 777 S. NEW BALLAS RD. STE.310 WEST
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City | ST. LOUIS
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State | MO
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Zip | 63141-8719
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Country | US
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Telephone | 314-569-3660
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. KRISTOPHER CHILCUTT
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Credential |
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Telephone | 314-569-3660
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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 | 2010018554
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License Number State | MO
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