Provider Demographics
NPI:1871682435
Name:SINDELAR, JEFFREY MATTHEW (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MATTHEW
Last Name:SINDELAR
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 1:3209 KINGSRIDGE MANOR DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-3064
Mailing Address - Country:US
Mailing Address - Phone:314-846-7866
Mailing Address - Fax:
Practice Address - Street 1:5518 TELEGRAPH RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-3575
Practice Address - Country:US
Practice Address - Phone:314-487-0333
Practice Address - Fax:314-487-0441
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060147781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice