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
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 012959 (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.