MEDICARE: AARON M. SCHERTZER D.D.S., P.C.

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	2001022562	MO

General Provider Information

NPI Number	:	1932379567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AARON M. SCHERTZER D.D.S., P.C.

Provider Business Mailing Address
First Line	:	5445 TELEGRAPH RD
Second Line	:	SUITE 111
City	:	SAINT LOUIS
State	:	MO
Zip	:	63129-3500
Country	:	US
Telephone Number	:	314-892-2120
Fax Number	:	314-892-6456

Provider Business Practice Location Address
First Line	:	5445 TELEGRAPH RD
Second Line	:	SUITE 111
City	:	SAINT LOUIS
State	:	MO
Zip	:	63129-3500
Country	:	US
Telephone Number	:	314-892-2120
Fax Number	:	314-892-6456

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. AARON MATTHEW SCHERTZER
Credential	:	D.D.S.
Telephone Number	:	314-892-2120

Provider Enumeration Date	:	03/11/2008
Last Update Date	:	03/11/2008

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