George Michael Vallar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

013365 Issued in MO

Practice address

211 Georgia St
Louisiana, MO 63353

Phone

(573) 754-4030

NPI assigned

May 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487869582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GEORGIA ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "63353",
            "telephone_number": "573-754-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 GEORGIA ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "63353",
            "telephone_number": "573-754-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLAR",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "017848",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Smith
• SSM Depaul Medical Group, Inc. (SSM Health Medical Group)
• Alexis Tatter
• Frank T Thomalla III, DDS
• Heather Treaster
• Susan T Voss, N.P.
• Jill Watts
• Mohammad Asif Waziri, M.D.
• Melissa Dawn White, APRN-CNP
• Mercedes Williamson, D.C.

• General Practice Dentistry in Louisiana, MO
• Providers in Louisiana, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.