PEDAITRIC DENTAL AND ORTHODONTIC ASSOCIATES OF ST LOUIS NPI 1780989061

NPI Information

NPI: 1780989061
Provider Name: PEDAITRIC DENTAL AND ORTHODONTIC ASSOCIATES OF ST LOUIS
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
430 S CLAY AVE
KIRKWOOD, MO
ZIP 63122
Phone: (314) 965-7630
Get Directions

PEDAITRIC DENTAL AND ORTHODONTIC ASSOCIATES OF ST LOUIS is a pediatric dentistry dentist in Kirkwood, MO. The provider is 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. PEDAITRIC DENTAL AND ORTHODONTIC ASSOCIATES OF ST LOUIS NPI is 1780989061. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

430 S CLAY AVE
KIRKWOOD, MO
ZIP 63122-808
Phone: (314) 965-7630

The provider's authorized official is Thomas Veraldi .
The authorized official title is Owner and has the following contact phone number (314) 965-7630.

The enumeration date for this NPI number is 1/19/2011 and was last updated on 1/19/2011.

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	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	14227	MISSOURI	No
2	1223P0221X	Dentist	Pediatric Dentistry	14227	MISSOURI	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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