Organization · Type 2 NPI
Provide Dental
Dental Clinic/Center · Chesterfield, MO
NPI number
1952292005
Active
Practice location
14377 Woodlake Dr Ste 205
Chesterfield, MO 63017-5735
Mailing address
2211 Olive St Ste 100
St. Louis, MO 63103-1502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Chesterfield
About NPI 1952292005
Provide Dental's National Provider Identifier is 1952292005, issued on Jul 15, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chesterfield, MO. The record was last updated on Jul 15, 2025.