Provider Demographics
NPI:1295125474
Name:CYR, GILBERT J JR (DDS)
Entity type:Individual
Prefix:MR
First Name:GILBERT
Middle Name:J
Last Name:CYR
Suffix:JR
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 1:6651 CHIPPEWA ST
Mailing Address - Street 2:STE 323
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-2532
Mailing Address - Country:US
Mailing Address - Phone:314-781-1919
Mailing Address - Fax:
Practice Address - Street 1:10777 SUNSET OFFICE DR
Practice Address - Street 2:STE 100
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127
Practice Address - Country:US
Practice Address - Phone:314-822-2210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0140821223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics