Provider Demographics
NPI:1609162189
Name:GRAMMER, REBECCA LINDSAY (DMD, MD)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:LINDSAY
Last Name:GRAMMER
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Gender:F
Credentials:DMD, MD
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Mailing Address - Street 1:1034 S. BRENTWOOD
Mailing Address - Street 2:SUITE 1010
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1210
Mailing Address - Country:US
Mailing Address - Phone:314-721-1010
Mailing Address - Fax:314-721-5276
Practice Address - Street 1:1034 S. BRENTWOOD
Practice Address - Street 2:SUITE 1010
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1210
Practice Address - Country:US
Practice Address - Phone:314-721-1010
Practice Address - Fax:314-721-5276
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2019-07-01
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Provider Licenses
StateLicense IDTaxonomies
MO2017019203204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery