Organization · Type 2 NPI

Mo Specialty Dental Services, LLC

Pediatric Dentistry · St. Louis, MO

NPI number 1386484137 Active

Practice location

2325 Dougherty Ferry Rd Ste 200
St. Louis, MO 63122-3356

Call (314) 394-1914 Map

Mailing address

1610 54th Ave N Ste 205
Nashville, TN 37209-1442

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3 other providers at this address

Other pediatric dentistry providers in St. Louis

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NPI record

NPI: 1386484137
Entity type: Organization (Type 2)
Issued: May 29, 2024
Last updated: May 29, 2024
Status: Active
Subpart: Yes of Mo Specialty Dental Services, LLC

Other names

St. Louis Pediatric Dentistry · doing business as

Authorized official

Charlotte Dasch
Direc of Cred and PR
(504) 638-0303

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386484137

Mo Specialty Dental Services, LLC's National Provider Identifier is 1386484137, issued on May 29, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in St. Louis, MO. The record was last updated on May 29, 2024.