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BRENTWOOD FAMILY DENTAL CENTER LLC NPI 1811180540


NPI Information

NPI: 1811180540
Provider Name: BRENTWOOD FAMILY DENTAL CENTER, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8083 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63144
Phone: (314) 647-1100
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BRENTWOOD FAMILY DENTAL CENTER, LLC is a general practice dentist in Saint Louis, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BRENTWOOD FAMILY DENTAL CENTER, LLC NPI is 1811180540. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8083 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63144-817
Phone: (314) 647-1100
Fax: (314) 647-1120

The provider's authorized official is Kirk Quigless .
The authorized official title is Owner and has the following contact phone number (314) 647-1100.

The enumeration date for this NPI number is 8/27/2007 and was last updated on 8/27/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice016129MISSOURIYes

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: 4/28/2024

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