Individual provider · Type 1 NPI

Charles Edward Niesen Ii, DMD

General Practice Dentistry · St. Louis, MO

NPI number 1215098124 Active

Practice location

2440 S Brentwood Blvd
St. Louis, MO 63144-2321

Call (314) 962-6643 Map

Fax (314) 962-2205

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X012230 (MO)

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.

5 other providers at this address

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About NPI 1215098124

Charles Edward Niesen Ii, DMD's National Provider Identifier is 1215098124, issued on Dec 13, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.