MEDICARE: DR. ERBAB MAJEED D.D.S.

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	122300000X	Dentist	2015015769	MO

General Provider Information

NPI Number	:	1467835496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERBAB MAJEED D.D.S.

Provider Business Mailing Address
First Line	:	134 EUCLID AVE
Second Line	:
City	:	WEBSTER GROVES
State	:	MO
Zip	:	63119-1612
Country	:	US
Telephone Number	:	314-791-1194
Fax Number	:

Provider Business Practice Location Address
First Line	:	727 LEMAY FERRY RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63125-1427
Country	:	US
Telephone Number	:	314-638-2121
Fax Number	:

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

Provider Enumeration Date	:	07/08/2015
Last Update Date	:	07/08/2015

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