Provider Demographics
NPI:1861569303
Name:THOMAS E OKEEFFE DDS APC
Entity type:Organization
Organization Name:THOMAS E OKEEFFE DDS APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR OKEEFFE
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EMMETT
Authorized Official - Last Name:OKEEFFE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:314-837-5544
Mailing Address - Street 1:13250 NEW HALLS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033
Mailing Address - Country:US
Mailing Address - Phone:314-837-5544
Mailing Address - Fax:314-837-3888
Practice Address - Street 1:13250 NEW HALLS FERRY RD
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033
Practice Address - Country:US
Practice Address - Phone:314-837-5544
Practice Address - Fax:314-837-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO11933OtherMO DRUG
MO11933OtherMO DRUG