Organization · Type 2 NPI

Wildhorse Dental Care, LLC

General Practice Dentistry · Lake St. Louis, MO

NPI number 1194322990 Active

Practice location

191 Civic Center Dr
Lake St. Louis, MO 63367-3027

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other general practice dentistry providers in Lake St. Louis

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NPI record

NPI: 1194322990
Entity type: Organization (Type 2)
Issued: Oct 5, 2020
Last updated: Jul 13, 2021
Status: Active

Other names

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New Creation Dental Care · doing business as
New Creation Dental Care · doing business as

Authorized official

Dr. Matthew Boscia, DMD
President
(636) 561-6400

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About NPI 1194322990

Wildhorse Dental Care, LLC's National Provider Identifier is 1194322990, issued on Oct 5, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lake St. Louis, MO. The record was last updated on Jul 13, 2021.