ADVANCED DENTAL CARE OF THE MIDWEST LTD NPI 1669187845

NPI Information

NPI: 1669187845
Provider Name: ADVANCED DENTAL CARE OF THE MIDWEST, LTD
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
443 N NEW BALLAS RD STE 244
CREVE COEUR, MO
ZIP 63141
Phone: (314) 755-1542
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ADVANCED DENTAL CARE OF THE MIDWEST, LTD is a dental clinic center in Creve Coeur, MO. ADVANCED DENTAL CARE OF THE MIDWEST, LTD NPI is 1669187845. The provider is registered as an organization entity type.

The provider's business location address is:

443 N NEW BALLAS RD STE 244
CREVE COEUR, MO
ZIP 63141-800
Phone: (314) 755-1542

The provider's authorized official is Khaled Shabany .
The authorized official title is Owner/periodontist and has the following contact phone number (314) 755-1542.

The enumeration date for this NPI number is 1/23/2023 and was last updated on 1/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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