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Search › Missouri › 1223G0001X

Gavin Tarazi, DMD

NPI 1740169630 · on the registry since 2025 · sole proprietor

Practice

Address
11941 Manchester Rd
Des Peres, MO 63131
Phone
(314) 501-8300
Organisation at this address
Ccs Smiles Llc
Clarkson Optometry Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-27

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