Individual provider · Type 1 NPI
Gavin Shibli Tarazi, DMD
General Practice Dentistry · Des Peres, MO
NPI number
1740169630
Active
Practice location
11941 Manchester Rd
Des Peres, MO 63131-4502
Mailing address
303 E 3rd St Apt A
Alton, IL 62002-2407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 2025036865 (MO) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
7 other providers at this address
- CCS Smiles LLCPediatric Dentistry Des Peres, MO NPI 1316638125
- Anthony Gerard Leisure Jr.General Practice Dentistry Des Peres, MO NPI 1013768415
- Betsaida Anai Delgado, DMDDentist Des Peres, MO NPI 1861374092
- Corbin Salthouse, DDSPediatric Dentistry Des Peres, MO NPI 1790338168
- Kelly H. Le, ODOptometrist Des Peres, MO NPI 1497004931
- Neil Francis David, ODOptometrist St. Louis, MO NPI 1760815948
- Sara Anne Day, ODOptometrist Des Peres, MO NPI 1811090830
Other general practice dentistry providers in Des Peres
About NPI 1740169630
Gavin Shibli Tarazi, DMD's National Provider Identifier is 1740169630, issued on Aug 27, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Des Peres, MO. The record was last updated on Aug 27, 2025.