Dr. George Thomas Shuert
Oral and Maxillofacial Surgeon
12277 De Paul Dr Ste 300
Bridgeton
, Missouri 63044-2529
Dr. George Thomas Shuert
Oral and Maxillofacial Surgeon
12277 De Paul Dr Ste 300
Bridgeton
, Missouri 63044-2529
(636) 978-5905
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. George Thomas Shuert
- 2992 Highway K
- O Fallon, MO
- Zip : 63368-7861
- Fax : (636) 978-5905
- Phone : (636) 978-6967
Second Address
- Dr. George Thomas Shuert
- 12277 De Paul Dr Ste 300
- Bridgeton, MO
- Zip : 63044-2529
- Fax : (314) 291-3816
- Phone : (314) 291-3810
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 011813 | MO |
National Provider Identifier
| NPI | 1104932854 |
|---|---|
| Provider Name | Dr. George Thomas Shuert |
| First Address | O Fallon, MO 63368-7861 |
| Second Address | Bridgeton, MO 63044-2529 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T81035 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.