MEDICARE: PHILIP MANNHARD 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	1223G0001X	General Practice Dentistry	12920	MO

General Provider Information

NPI Number	:	1528121993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP MANNHARD D.D.S

Provider Business Mailing 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	:

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	:	12/18/2006
Last Update Date	:	04/07/2015

Similar Medicare Providers

1467835496 — DR. ERBAB MAJEED D.D.S.
Practice Location Address:

727 LEMAY FERRY RD
SAINT LOUIS, MO
63125-1427

Practice Phone: 314-638-2121
Practice Fax:

1558873422 — LEMAY FAMILY DENTISTRY LLC
Practice Location Address:

727 LEMAY FERRY RD
SAINT LOUIS, MO
63125-1427

Practice Phone: 314-638-2121
Practice Fax:

1346469103 — EDWARDSVILLE CUSD7
Practice Location Address:

708 SAINT LOUIS ST
EDWARDSVILLE, IL
62025-1427

Practice Phone: 618-655-6026
Practice Fax: 618-655-6035

1205033735 — MELISSA DARLENE MCKAIG OTR/L
Practice Location Address:

708 SAINT LOUIS ST
EDWARDSVILLE, IL
62025-1427

Practice Phone: 618-656-1182
Practice Fax:

1467651174 — MR. ARIEL SALTO PT
Practice Location Address:

4603 RIDGEWOOD AVE , APARTMENT 4
SAINT LOUIS, MO
63116-1427

Practice Phone: 636-284-9880
Practice Fax:

1871046177 — CASSANDRA GORDON OTR/L
Practice Location Address:

708 SAINT LOUIS ST
EDWARDSVILLE, IL
62025-1427

Practice Phone: 618-656-1182
Practice Fax:

Directions to “ PHILIP MANNHARD D.D.S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.