MEDICARE: PLAZA HEALTH DENTISTRY

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	261QD0000X	Dental Clinic/Center	DE015548	MO

General Provider Information

NPI Number	:	1437456001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLAZA HEALTH DENTISTRY

Provider Business Mailing Address
First Line	:	9420 WATSON RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63126-1529
Country	:	US
Telephone Number	:	314-843-0500
Fax Number	:

Provider Business Practice Location Address
First Line	:	9420 WATSON RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63126-1529
Country	:	US
Telephone Number	:	314-843-0500
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT/DENTIST
Name	:	DR. WILLIAM J SCHLOTZ
Credential	:	DDS
Telephone Number	:	314-843-0500

Provider Enumeration Date	:	02/17/2011
Last Update Date	:	02/17/2011

Similar Medicare Providers

1811309057 — MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Practice Location Address:

9420 WATSON RD
SAINT LOUIS, MO
63126-1529

Practice Phone: 314-843-0500
Practice Fax:

1942986690 — DR. MADISON NICOLE BERG DMD
Practice Location Address:

9420 WATSON RD
SAINT LOUIS, MO
63126-1529

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Practice Fax:

1255124426 — DR. JARED TIMOTHY HARRISON DDS
Practice Location Address:

9420 WATSON RD
SAINT LOUIS, MO
63126-1529

Practice Phone: 314-843-0500
Practice Fax:

1962432807 — DR. GUNER BUYUKKUS GULMEN MD
Practice Location Address:

100 N EUCLID AVE , SUITE 800
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Practice Phone: 314-454-0220
Practice Fax: 314-454-0028

1851302442 — DR. FRANCIS J KUBIK III DDS
Practice Location Address:

100 N EUCLID AVE , SUITE 410
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63108-1529

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Practice Fax:

1790797850 — MR. MARK EDMUND LACHAPELLE MSW
Practice Location Address:

1660 HIGHWAY 100 S , SUITE 334
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55416-1529

Practice Phone: 952-928-8474
Practice Fax: 952-928-8532

Directions to “PLAZA HEALTH DENTISTRY ” Practice Location

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