SearchMissouri1223G0001X

Derek Vadnal, DMD

NPI 1427074020 · on the registry since 2006 · sole proprietor

Practice

Address
12105 Bridgeton Sq
Bridgeton, MO 63044
Phone
(314) 298-7772
Fax
(314) 298-9895

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
Licence states on file
KS, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-01-05

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