Organization · Type 2 NPI
Mo Specialty Dental Services, LLC
Pediatric Dentistry · O Fallon, MO
NPI number
1811624141
Active
Practice location
4142 Keaton Crossing Blvd Ste 10
O Fallon, MO 63368-8404
Mailing address
1610 54th Ave N Ste 205
Nashville, TN 37209-1442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
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.
About NPI 1811624141
Mo Specialty Dental Services, LLC's National Provider Identifier is 1811624141, issued on Aug 5, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in O Fallon, MO. The record was last updated on Aug 5, 2022.