MICHAEL CISSELL, DDS

Dentist - General Practice

Active Individual
NPI: 1164707139

Practice Address

1296 N HENKE RD
Lake St Louis, MO 63367

Phone: (636) 561-1242

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 011938 (MO)

Frequently Asked Questions

NPI 1164707139 is the National Provider Identifier for MICHAEL CISSELL, DDS, a Dentist - General Practice provider located in Lake St Louis, MO. This NPI was enumerated on October 20, 2011.
MICHAEL CISSELL, DDS practices at 1296 N HENKE RD, Lake St Louis, MO 63367.

Quick Facts

NPI
1164707139
Type
Individual
Enumerated
Oct 20, 2011
Last Updated
Oct 20, 2011

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