Organization · Type 2 NPI
Provide Dental
Dental Clinic/Center · Chesterfield, MO
NPI number
1124990601
Active
Practice location
13371 Olive Blvd # 3108
Chesterfield, MO 63017-3108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Chesterfield
About NPI 1124990601
Provide Dental's National Provider Identifier is 1124990601, issued on Sep 23, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chesterfield, MO. The record was last updated on Sep 23, 2025.