MEDICARE: TRI-COUNTY ORTHODONTICS, ASSOCIATES, LTD

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	DE015380	MO

General Provider Information

NPI Number	:	1649445321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI-COUNTY ORTHODONTICS, ASSOCIATES, LTD

Provider Business Mailing Address
First Line	:	1015-G WASHINGTON SQUARE SHOPPING CENTER
Second Line	:
City	:	WASHINGTON
State	:	MO
Zip	:	63090
Country	:	US
Telephone Number	:	636-239-4004
Fax Number	:	636-239-6576

Provider Business Practice Location Address
First Line	:	1015 WASHINGTON SQUARE SHOPPING CTR STE G
Second Line	:
City	:	WASHINGTON
State	:	MO
Zip	:	63090-5307
Country	:	US
Telephone Number	:	636-239-4004
Fax Number	:	636-239-6576

Authorized Official
Title or Position	:	ORTHODONTIST
Name	:	DR. JACQUELINE M. MILLER
Credential	:	DDS, MS
Telephone Number	:	636-239-4004

Provider Enumeration Date	:	04/24/2008
Last Update Date	:	04/24/2008

Similar Medicare Providers

1578567400 — DR. JACQUELINE MARIE MILLER DDS, MS
Practice Location Address:

1015 WASHINGTON SQUARE SHOPPING CTR , STE G
WASHINGTON, MO
63090-5307

Practice Phone: 636-239-4004
Practice Fax: 636-239-6576

1962478305 — DR. MICHAEL JAMES PERNOUD D.D.S.
Practice Location Address:

1015 WASHINGTON SQ
WASHINGTON, MO
63090-5307

Practice Phone: 636-239-5959
Practice Fax: 636-239-7586

1891987954 — WASHINGTON SQUARE DENTAL
Practice Location Address:

1015 WASHINGTON SQ STE E
WASHINGTON, MO
63090-5307

Practice Phone: 636-239-7828
Practice Fax: 636-239-5048

1659538973 — MICHAEL J PERNOUD DDS PC
Practice Location Address:

1015 WASHINGTON SQ STE F
WASHINGTON, MO
63090-5307

Practice Phone: 636-239-5959
Practice Fax:

1629339486 — ANUOLUWAPO ENITAN ADEGBESAN
Practice Location Address:

114 50TH ST NE
WASHINGTON, DC
20019-5307

Practice Phone: 202-840-9776
Practice Fax:

1770334179 — ANITA LEVETT ARMSTRONG
Practice Location Address:

112 50TH ST NE
WASHINGTON, DC
20019-5307

Practice Phone: 202-257-3072
Practice Fax:

Directions to “TRI-COUNTY ORTHODONTICS, ASSOCIATES, LTD ” 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.