Ellis Basil Memos, DDS

General Practice Dentistry · St Louis, MO

Individual Active NPI

NPI number 1245340025

Practice location

5108 Hampton Ave
St Louis, MO 63109-3113
Phone
(314) 832-4816
Fax
(314) 832-4811

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NPI record

NPI
1245340025
Entity type
Individual (Type 1)
Enumeration date
August 30, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 9757 MO

About Dr. Memos

Ellis Basil Memos, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5108 Hampton Ave, St Louis, MO 63109-3113. The NPI number 1245340025 was assigned on August 30, 2006 and the record was last updated on July 8, 2007.

Dr. Memos lists a license in the registry: #9757 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellis Basil Memos, DDS?

The NPI number is 1245340025.

What is the phone number of Dr. Memos?

The phone number listed for the practice location is (314) 832-4816.

Where is Dr. Memos located?

5108 Hampton Ave, St Louis, MO 63109-3113.

What is the taxonomy code for Dr. Memos?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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