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KENNERLY DENTAL GROUP INC. NPI 1811910250


NPI Information

NPI: 1811910250
Provider Name: KENNERLY DENTAL GROUP, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9906 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 842-5177
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KENNERLY DENTAL GROUP, INC. 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. KENNERLY DENTAL GROUP, INC. NPI is 1811910250. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9906 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128-704
Phone: (314) 842-5177
Fax: (314) 842-9935

The provider's authorized official is Edwin Richard Schertzer .
The authorized official title is President and has the following contact phone number (314) 842-5177.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 8/22/2020.


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 Practice012378MISSOURIYes

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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