Search › Missouri › 1223S0112X
Hiran Fernando, DDS
NPI 1164634135 · on the registry since 2007
Practice
- Address
- 165 N. Meramec Ave
Suite 300
Clayton, MO 63105 - Phone
- (314) 726-2755
- Fax
- (314) 726-9538
- Organisation at this address
- Gateway Oral And Maxillofacial Surgeons Of St Louis, P.C.
Vanessa N. Keller, D.M.D. And Trisha M. Young, D.M.D., PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 122300000X
390200000X - Licence states on file
- TX, NY, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri