Individual provider · Type 1 NPI

Daniel M. Autry, DMD

Pediatric Dentistry · St. Louis, MO

NPI number 1740275593 Active

Practice location

3555 Sunset Office Dr Ste 210
St. Louis, MO 63127-1021

Call (314) 822-2765 Map

Mailing address

8141 John Mckeever Rd
House Springs, MO 63051-3216

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X8613 (CO)
Pediatric Dentistry Primary 1223P0221X2005019770 (MO)
Pediatric Dentistry 1223P0221XDN29949 (FL)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

5 other providers at this address

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About NPI 1740275593

Daniel M. Autry, DMD's National Provider Identifier is 1740275593, issued on Sep 19, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in St. Louis, MO. The record was last updated on May 22, 2026.