| NPI | 1801508379 |
|---|---|
| Doing Business As | FIRST CAPITOL ORAL AND MAXILLOFACIAL SURGERY |
| Doing Business As | ORAL AND MAXILLOFACIAL SURGERY AT THE CROSSING |
| Other Name | KENNETH CLARK PRIDDY, DDS, MD, PC |
| Entity Type | Organization |
| Authorized Contact | KELSEY CAITLIN SMITH Partner 314-956-5651 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2022-12-15 |