Julie Thibeault

NPI 1760731558 · on the registry since 2012

Practice

Address: 5992 Howdershell Rd
Hazelwood
Hazelwood, MO 63042
Phone: (314) 731-1333
Organisation at this address: Mcleod Periodontics
David E Wagner Dmd Llc
Green Way Transportation Llc
Northland Hearing Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 237700000X
237700000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-12-18

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