Organization · Type 2 NPI

James E. Lillenberg DDS Inc

Point of Service · Sunset Hills, MO

NPI number 1619425337 Active

Practice location

3802 South Lindbengh, Suite 108
Sunset Hills, MO 63127

Fax (314) 842-0259

Mailing address

112 Ladlie Grove Lane
Creve Coeur, MO 63141-7469

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000X012959 (MO)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

About NPI 1619425337

James E. Lillenberg DDS Inc's National Provider Identifier is 1619425337, issued on Sep 12, 2016. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Sunset Hills, MO. The record was last updated on Mar 18, 2026.