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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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist MO 2004025287
Other Identifiers
Issuer State Number
MEDICAID MO 409298726
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location