Edward S Czebrinski DMD PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

MO GEN #011763 Issued in MO

Legal business name

EDWARD S CZEBRINSKI DMD PC

Practice address

77 Westport Plaza Medical Center
Suite 356
Saint Louis, MO 63146

Phone

(314) 878-1401

NPI assigned

Dec 21, 2006

Last updated

Aug 22, 2020By 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. Edward Steven Czebrinski, DMD

Title

President Owner Surgeon

Phone

(314) 878-1401

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376607416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WESTPORT PLAZA MEDICAL CENTER",
            "address_2": "SUITE 356",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63146",
            "telephone_number": "314-878-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WESTPORT PLAZA MEDICAL CENTER",
            "address_2": "SUITE 356",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63146",
            "telephone_number": "314-878-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD S CZEBRINSKI DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CZEBRINSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT OWNER SURGEON",
        "authorized_official_telephone_number": "314-878-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MO",
            "license": "MO GEN #011763",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MO",
            "license": "MO SPEC #00483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edu Health PCS and Adc
• Educational & Psychological SVCS LLC
• Educational Tutoring
• Eduhealth Personal Care Services
• Eduhealth Personal Care Services
• Edward W Heidbrier MD PC
• Patricia Edwards-Parrish, NURSE PRACTITIONER
• Abigail Diane Edwards, DDS
• Adam Dean Edwards, CAA
• Alexandra Marie Edwards, M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Oral & Maxillofacial Surgery (D.M.D.) 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.