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ERIC HURTTE D.M.D P.C. NPI 1508416967


NPI Information

NPI: 1508416967
Provider Name: ERIC HURTTE D.M.D, P.C.

Doing Business As: BOARDWALK FAMILY DENTAL

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
7766 WINGHAVEN BLVD
O FALLON, MO
ZIP 63368
Phone: (636) 561-4117
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ERIC HURTTE D.M.D, P.C. is a preferred provider organization in O Fallon, MO. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. ERIC HURTTE D.M.D, P.C. NPI is 1508416967. The provider is registered as an organization entity type.
The provider Is Doing Business As Boardwalk Family Dental.

The provider's business location address is:

7766 WINGHAVEN BLVD
O FALLON, MO
ZIP 63368-601
Phone: (636) 561-4117

The provider's authorized official is Kirsten Burkemper .
The authorized official title is Front Desk and has the following contact phone number (636) 561-4117.

The enumeration date for this NPI number is 9/18/2019 and was last updated on 9/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider OrganizationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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