MEDICARE: THIERRY PAPAZIAN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2025048569	MO
2	1223G0001X	General Practice Dentistry	019035217	IL

General Provider Information

NPI Number	:	1154164960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THIERRY PAPAZIAN DMD

Provider Business Mailing Address
First Line	:	111 N MAIN ST
Second Line	:
City	:	BREESE
State	:	IL
Zip	:	62230-1629
Country	:	US
Telephone Number	:	618-526-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	605 OLD BALLAS RD STE 118
Second Line	:
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-7070
Country	:	US
Telephone Number	:	314-948-8213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2024
Last Update Date	:	02/04/2026

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Directions to “ THIERRY PAPAZIAN DMD” Practice Location

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