Steven J. Hribernik, D.M.D., P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

015277 Issued in MO

Legal business name

STEVEN J. HRIBERNIK, D.M.D., P.C.

Practice address

1155 E Gannon Dr
Festus, MO 63028-2611

Phone

(636) 931-4699

Fax

(636) 931-5110

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Peggy S. Carothers

Title

Office Manager

Phone

(314) 842-4699

Specialties & licenses 1

Addresses

Other names 1

• St. Louis South Oral & Maxillofacial Surgery, Inc. Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elie Y Freilich, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Louis, MO
  • NPI 1659751592
  NPD (past)
• William Allen Gray, D.M.D. MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Louis, MO
  • NPI 1205047933
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366657405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 E GANNON DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282611",
            "telephone_number": "636-931-4699",
            "fax_number": "636-931-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 E GANNON DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282611",
            "telephone_number": "636-931-4699",
            "fax_number": "636-931-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J. HRIBERNIK, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAROTHERS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-842-4699",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "015277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Louis South Oral & Maxillofacial Surgery, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Anthony'S Physician Organization
• Ana Isabel Stark, MD
• Ste Genevieve County Memorial Hospital
• Terry S Stealey
• Erick Richard Stephenson
• Steven L. Kurzweil, MD PC
• Tosha Stiebel
• Danyelle R. Stillman, FNP-BC
• Sarah J Stinson
• Roberta C Stock, APN

• Oral and Maxillofacial Surgery (Dentist) in Festus, MO
• Providers in Festus, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.