BYRON DUVALL DDS LLC NPI 1346598661

NPI Information

  • NPI: 1346598661
  • Provider Name: BYRON DUVALL DDS LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 2600 CHOUTEAU AVE
    SAINT LOUIS, MO
    ZIP 63103
  • Phone: (314) 776-7100

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NPI Details

BYRON DUVALL DDS 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. BYRON DUVALL DDS LLC NPI is 1346598661. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2600 CHOUTEAU AVE
SAINT LOUIS, MO
ZIP 63103-013
Phone: (314) 776-7100

The provider's authorized official is Byron V Duvall .
The authorized official title is Owner and has the following contact phone number (314) 776-7100.

The enumeration date for this NPI number is 8/16/2012 and was last updated on 8/16/2012.

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
11223E0200XDentistEndodonticsNo
21223P0221XDentistPediatric DentistryNo
31223P0300XDentistPeriodonticsNo
41223P0700XDentistProsthodonticsNo
51223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1401339304MEDICAIDMISSOURI

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: 3/30/2025

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