Individual provider · Type 1 NPI

Jose L. Oliver Segarra

Dentist · St. Louis, MO

NPI number 1013758994 Active

Practice location

615 S New Ballas Rd
St. Louis, MO 63141-8221

Call (314) 251-6382 Map

Mailing address

PO Box 776084
Chicago, IL 60677-6084

Other practice locations

  • 621 S New Ballas Rd Ste 10A, St. Louis, MO 63141-8239 · (314) 251-5775

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2025052674 (MO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1013758994

Jose L. Oliver Segarra's National Provider Identifier is 1013758994, issued on Jun 4, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 17, 2026.