Individual provider · Type 1 NPI

Mark Humphrey, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Wentzville, MO

NPI number 1023556743 Active

Practice location

901 Crystal Creek Pkwy
Wentzville, MO 63385-3709

Other practice locations

  • 1335 Queens Ct, St. Peters, MO 63376-7356 · (636) 332-5550

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X2014016805 (MO)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1023556743

Mark Humphrey, DDS, M.S.'s National Provider Identifier is 1023556743, issued on Feb 1, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Wentzville, MO. The record was last updated on Aug 28, 2026.