GATEWAY LITTLE SMILES OF BALLWIN LLC NPI 1487389672

NPI Information

NPI: 1487389672
Provider Name: GATEWAY LITTLE SMILES OF BALLWIN, LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
956 KEHRS MILL RD
BALLWIN, MO
ZIP 63011
Phone: (636) 527-2779
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GATEWAY LITTLE SMILES OF BALLWIN, LLC is a pediatric dentistry dentist in Ballwin, 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. GATEWAY LITTLE SMILES OF BALLWIN, LLC NPI is 1487389672. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

956 KEHRS MILL RD
BALLWIN, MO
ZIP 63011-402
Phone: (636) 527-2779

The provider's authorized official is Corey Hastings .
The authorized official title is Managing Member and has the following contact phone number (314) 496-3562.

The enumeration date for this NPI number is 7/21/2022 and was last updated on 7/21/2022.

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	1223P0221X	Dentist	Pediatric Dentistry			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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