Individual provider · Type 1 NPI

Jack Guo

Endodontics · O Fallon, MO

NPI number 1669110599 Active

Practice location

113 Church St
O Fallon, MO 63366-2894

Mailing address

2220 Mid Rivers Place Dr Apt 2220
St. Peters, MO 63304-4438

Specialties and licenses

TaxonomyCodeLicense
Endodontics Primary 1223E0200X2024015466 (MO)

Endodontics: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Another provider at this address

About NPI 1669110599

Jack Guo's National Provider Identifier is 1669110599, issued on May 20, 2022. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in O Fallon, MO. The record was last updated on Jul 16, 2026.