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Provider Information for 1386783751



DR. PALLAVI SINHA DMD

Gender: FEMALE

Individual NPI: 1386783751

Calendar Last Updated: 2014-07-11

Details

Name Value
NPI 1386783751
Enumeration Date 2007-02-05
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 12486 TESSON FERRY RD
SAINT LOUIS, MO 63128-2702
United States

Phone: 314-843-5533 | Fax: 314-843-4801
View Map External Link
Primary Practice Address 12486 TESSON FERRY RD
SAINT LOUIS, MO 63128-2702
United States

Phone: 314-843-5533 | Fax: 314-843-4801
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID MO 409298726
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist MO 2004025287