Alexander Heatrice DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ALEXANDER HEATRICE DDS PC

Doing business as

Premier Institute of Oral and Facial Surgery

Practice address

2855 N Highway 67
Florissant, MO 63033-1403

Phone

(314) 627-1953

Fax

(314) 897-3385

NPI assigned

Mar 7, 2024

Last updated

Mar 7, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alexander Heatrice, DDSNPI 1790078574

Title

Owner

Phone

(314) 627-1953

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Institute of Oral and Facial Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Tax ID family

Alexander Heatrice DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alexander Heatrice DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Louis, MO
  • NPI 1447950050
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Heatrice, DDS, MPH,MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Louis, MO
  • NPI 1790078574
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1043078793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 N HIGHWAY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630331403",
            "telephone_number": "314-627-1953",
            "fax_number": "314-897-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N HIGHWAY 67",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630331403",
            "telephone_number": "314-627-1953",
            "fax_number": "314-897-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER HEATRICE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "HEATRICE",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-627-1953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400086802",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Institute of Oral and Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Herve Ayefounin Akakpo
• Avwerosuoghene Akushe
• Sara Al-Hawarey
• Jay Welch Albovias, M.D.
• Lisa L Aldridge
• Nykieta D'Anae Alexander
• Ali Badihi, D.D.S., P.C., Dba (Comfort Care Dental Florissant)
• Ahmed Syed Ali, M.D.
• Mohamed A.S. Ali, M.D.
• All About Family I

• Oral and Maxillofacial Surgery (Dentist) in Florissant, MO
• Providers in Florissant, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.