Provider Demographics
NPI:1306833835
Name:MAJERS, JONATHAN J (DDS)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:J
Last Name:MAJERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11801 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-4620
Mailing Address - Country:US
Mailing Address - Phone:314-821-8888
Mailing Address - Fax:314-821-5488
Practice Address - Street 1:11801 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-4620
Practice Address - Country:US
Practice Address - Phone:314-821-8888
Practice Address - Fax:314-821-5488
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO137131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice