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Provider Information for 1073503587

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MICHAEL F GRASSO DDS

Gender: MALE

Individual NPI: 1073503587

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1073503587
Enumeration Date 2005-10-26
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2 WEST DR SUITE 120
CHESTERFIELD, MO 63017-1843
United States

Phone: 636-777-7700 | Fax: 636-777-4415
View Map External Link
Primary Practice Address 2 WEST DR SUITE 120
CHESTERFIELD, MO 63017-1843
United States

Phone: 636-777-7700 | Fax: 636-777-4415
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice MO 14153