Provider Demographics
NPI:1790988988
Name:GARVEY, MICHAEL VINCENT (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:VINCENT
Last Name:GARVEY
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:1 GARVEY PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-5615
Mailing Address - Country:US
Mailing Address - Phone:636-441-2777
Mailing Address - Fax:636-447-5546
Practice Address - Street 1:1 GARVEY PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:ST. CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-5615
Practice Address - Country:US
Practice Address - Phone:636-441-2777
Practice Address - Fax:636-447-5546
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO0130401223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics