DR. PAUL DOUGLAS EDGERLEY D.D.S. MDS NPI 1588072391

NPI Information

  • NPI: 1588072391
  • Provider Name: DR. PAUL DOUGLAS EDGERLEY, D.D.S., MDS
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • Address: 14377 WOODLAKE DR STE 206
    CHESTERFIELD, MO
    ZIP 63017
  • Phone: (314) 878-8880

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NPI Details

DR. Paul Douglas Edgerley, D.D.S., MDS is a prosthodontics dentist in Chesterfield, MO. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Paul Douglas Edgerley, D.D.S., MDS NPI is 1588072391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14377 WOODLAKE DR STE 206
CHESTERFIELD, MO
ZIP 63017-735
Phone: (314) 878-8880
Fax: (314) 658-9940

The enumeration date for this NPI number is 7/24/2014 and was last updated on 1/30/2024.

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
11223P0700XDentistProsthodontics2015014360MISSOURIYes
2122300000XDentist2015014360MISSOURINo

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: 11/21/2025

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