Provider Demographics
NPI:1306205893
Name:MARC R. SATTOVIA
Entity Type:Organization
Organization Name:MARC R. SATTOVIA
Other - Org Name:CHESTERFIELD DENTAL ASSOC. INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:R
Authorized Official - Last Name:SATTOVIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:636-532-3208
Mailing Address - Street 1:16100 CHESTERFIELD PARKWAY W.
Mailing Address - Street 2:#320
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-4817
Mailing Address - Country:US
Mailing Address - Phone:636-532-3208
Mailing Address - Fax:636-532-1371
Practice Address - Street 1:16100 CHESTERFIELD PARKWAY W.
Practice Address - Street 2:#320
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4817
Practice Address - Country:US
Practice Address - Phone:636-532-3208
Practice Address - Fax:636-532-1371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty