Organization · Type 2 NPI
Brave Series II
Dentist · St. Joseph, MO
Practice location
4015 Frederick Ave
St. Joseph, MO 64506-3156
Mailing address
PO Box 302147
Dallas, TX 75303-2147
Other practice locations
- 319 NE Vivion Rd, Kansas City, MO 64118-4510 · (816) 459-0000
- 4214 S Farm Road 135, Springfield, MO 65810-3716 · (417) 289-0000
- 7934 N Lindbergh Blvd, Hazelwood, MO 63042-3521 · (314) 818-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | None listed |
| Dental Anesthesiology | 1223D0004X | None listed |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
2 other providers at this address
Other dentist providers in St. Joseph
- Henry W Fricke DDS PCDentist St. Joseph, MO NPI 1134265572
- Dennis T. Myers D.d.s.,p.aDentist St. Joseph, MO NPI 1285824482
- Mark L. Trulsson, Dmd, P.c.Dentist St. Joseph, MO NPI 1316248966
- Mint Dental St. JosephDentist St. Joseph, MO NPI 1700730710
- A Plus Smiles LLCDentist St. Joseph, MO NPI 1730852039
- Dr. Mark B. Beard Dds, IncDentist St. Joseph, MO NPI 1861976334
- Susan C Charles DDS LLCDentist St. Joseph, MO NPI 1871086686
About NPI 1740140052
Brave Series II's National Provider Identifier is 1740140052, issued on Nov 18, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Joseph, MO. The record was last updated on Jul 7, 2026.