William Michael Boedefeld, DDS

General Practice Dentistry · St Peters, MO

Individual Active NPI

NPI number 1306044797

Practice location

105 Jungermann Rd
St Peters, MO 63376
Phone
(636) 928-1244
Fax
(636) 922-1444

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NPI record

NPI
1306044797
Entity type
Individual (Type 1)
Enumeration date
July 6, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12127 MO

About Dr. Boedefeld

William Michael Boedefeld, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 105 Jungermann Rd, St Peters, MO 63376. The NPI number 1306044797 was assigned on July 6, 2007 and the record was last updated on July 8, 2007.

Dr. Boedefeld lists a license in the registry: #12127 (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 William Michael Boedefeld, DDS?

The NPI number is 1306044797.

What is the phone number of Dr. Boedefeld?

The phone number listed for the practice location is (636) 928-1244.

Where is Dr. Boedefeld located?

105 Jungermann Rd, St Peters, MO 63376.

What is the taxonomy code for Dr. Boedefeld?

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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